Indications and complications of tube thoracostomy with improvised underwater seal bottles

Edaigbini, Sunday A; Delia, Ibrahim Z; Aminu, Muhammad B; Orogade, Abosede A; Anumenechi, Ndubuisi; Aliyu, Ibrahim D

doi:10.4103/1117-6806.137305

Cited by 8 publications

(4 citation statements)

References 10 publications

(15 reference statements)

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“…Unlike some improvised pleural suction devices and water seals used in people, the devices demonstrated in this paper would have a lower likelihood of providing a source of contamination. 5 The main elements of the devices are derived from medical equipment, routinely used during sterile surgeries. The nonsterile elements that contact the inside of the devices include the straw and binder clip, both of which have the potential to be sterilized and assembled in a sterile fashion using surgical gloves.…”

Section: Discussionmentioning

confidence: 99%

“…The core concept used to design these improvised pleural drainage devices may also be applied using alternate brands of suction containers, with the only requirement being 3 openings on the lid of the suction unit. Unlike some improvised pleural suction devices and water seals used in people, the devices demonstrated in this paper would have a lower likelihood of providing a source of contamination 5 . The main elements of the devices are derived from medical equipment, routinely used during sterile surgeries.…”

Section: Discussionmentioning

confidence: 99%

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A proposed improvised pleural drainage system for veterinary use

Hardjo

2022

J Vet Emergen Crit Care

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A proposed improvised pleural drainage system for veterinary use

Hardjo

2022

J Vet Emergen Crit Care

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“…The underwater seal can be improvised with bottled water plastic with good results in poor resource settings. [ 20 ] This has been done in emergency setting, especially when the ideal drainage receptacle is not available.…”

Section: Discussionmentioning

confidence: 99%

Management of chest drains: A national survey on surgeons-in-training experience and practice

et al. 2015

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Background:Chest tube insertion is a simple and sometimes life-saving procedure performed mainly by surgical residents. However with inadequate knowledge and poor expertise, complications may be life threatening.Objective:We aimed to determine the level of experience and expertise of resident surgeons in performing tube thoracostomy.Methodology:Four tertiary institutions were selected by simple random sampling. A structured questionnaire was administered to 90 residents after obtaining consent.Results:The majority of respondents were between 31 and 35 years. About 10% of respondents have not observed or performed tube thoracostomy while 77.8% of respondents performed tube thoracostomy for the first time during residency training. The mean score was 6.2 ± 2.2 and 59.3% of respondents exhibited good experience and practice. Rotation through cardiothoracic surgery had an effect on the score (P = 0.034). About 80.2% always obtained consent while 50.6% always used the blunt technique of insertion. About 61.7% of respondents routinely inserted a chest drain in the Triangle of safety. Only 27.2% of respondents utilized different sizes of chest tubes for different pathologies. Most respondents removed chest drains when the output is <50 mL. Twenty-six respondents (32.1%) always monitored air leak before removal of tubes in cases of pneumothorax. Superficial surgical site infection, tube dislodgement, and tube blockage were the most common complications.Conclusion:Many of the surgical resident lack adequate expertise in this lifesaving procedure and they lose the opportunity to learn it as interns. There is a need to stress the need to acquire this skill early, to further educate and evaluate them to avoid complications.

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“…Empyema thoracis is a pyogenic or suppurative infection in the pleural space [1] [2] [3] [4]. Empyema thoracis is exudative in nature and is the commonest exudative types of pleural effusion.…”

Section: Introductionmentioning

confidence: 99%

Decade Experience in Pleurectomy and Lung Decortications for Chronic Empyema Thoracis

Andrew¹,

Stephen²,

Chukwuemeka³

et al. 2018

WJCS

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Background: Chronic empyema thoracis is a debilitating illness with high morbidity and mortality, and is seen among all age groups in Nigeria. Objective: To review all cases of chronic empyema thoracis treated by pleurectomy and lung decortication and highlight the indications, challenges and the outcome. Materials and Method: In a 10-year period spanning 2007-2016, 90 patients with chronic empyema thoracis were admitted and managed in our institution. A retrospective study of 36 patients who underwent surgery was performed. Results: Ten patients (27.80%) out of 36 patients had unsuccessful one month closed chest tube drainage (CTTD). Six patients (16.67%) were referred from peripheral hospitals as chronic empyema thoracis that had failed CTTD. The remainder, 20 (55.60%) were diagnosed as chronic empyema thoracis de novo. Conclusion: Chronic empyema thoracis is a very difficult disease to manage especially in developing countries like ours, where patients present very late and the requisite facilities are inadequate.

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Indications and complications of tube thoracostomy with improvised underwater seal bottles

Cited by 8 publications

References 10 publications

A proposed improvised pleural drainage system for veterinary use

A proposed improvised pleural drainage system for veterinary use

Management of chest drains: A national survey on surgeons-in-training experience and practice

Decade Experience in Pleurectomy and Lung Decortications for Chronic Empyema Thoracis

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