Abstract
Inserting a chest drain may be associated with severe complications and therefore the indication for doing so must be very precise. The most important aspect is that the treatment goal is achieved through the procedure. The technical details of the drain (shape, diameter, and material), the number of drains, and the anatomical location will need to align with the therapy aim. It is also important to assess the indication for drainage in relation to the patient’s clinical course. This is the only way to calculate the risk/benefit ratio of this invasive procedure.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literature
Klopp M, Dienemann H, Hoffmann H. Treatment of Pneumothorax. Chirurg. 2007;78(7):655–668.
Baumann M, Strange C, Heffner J et al. Management of Spontaneous Pneumothorax. An American Colllege of Chest Physicians Delphi Consensus Statement. Chest. 2001;119:590–602.
MacDuff A, Arnold A, Harvey J. on behalf of the BTS Pleural Disease Guideline Group. Management of spontaneous pneumothorax: British Thoracic Society pleural disease guideline Thorax. 2010;65(Suppl 2):ii18eii31.
Devanand A, Koh MS, Ong TH et al. Simple aspiration versus chest-tube insertion in the management of primary spontaneous pneumothorax: a systematic review. Respir Med. 2004;98(7):579–90.
Soccorso G, Anbarasan R, Singh M et al. Management of large primary spontaneous pneumothorax in children: radiological guidance, surgical intervention and proposed guideline. Pediatr Surg Int. 2015;31(12):1139–44.
Vedam H, Barnes DJ. Comparison of large- and small-bore intercostal catheters in the management of spontaneous pneumothorax. Int Med J. 2003;33:495e9.
Ichinose J, Nagayama K, Hino H. Results of surgical treatment for secondary spontaneous pneumothorax according to underlying diseases. Eur J Cardiothorac Surg. 2015;8:pij: ezv256.
Yarmus L, Feller-Kopman D. Pneumothorax in the crititcally ill patient. Chest. 2012;141(4): 1098–1105.
Flume PA, Mogayzel Jr PJ, Robinson KA et al. Cystic fibrosis pulmonary guidelines: pulmonary complications: hemoptysis and pneumothorax. Am J Respir Crit Care Med. 2010;182:298–306.
Despars JA, Sassoon CSH, Light RW. Significance of iatrogenic pneumothoraces. Chest. 1994;105:1147–50.
Yadav K, Jalili M, Zehtabchi S. Management of traumatic occult pneumothorax. Resuscitation. 2010;81(9): 1063–8.
de Lesquen H, Avro JP, Gust L et al. Surgical management for the first 48 h following blunt chest trauma: state of the art (excluding vascular injuries). Interact CardioVasc Thorac Surg. 2015;20:399–408.
Davies HE, Davies R, Davies C. On behalf of the BTS Pleural Disease Guideline Group. BTS-Guideline: Management of pleural infection in adults. Thorax. 2010; 65(Suppl 2): ii41–ii53
Ried M, Hofmann HS. Dtsch Arztebl Int. 2013;110(18):313–8.
Stefani A, Natali P, Casali C et al. Talc poudrage versus talc slurry in the treatment of malignant pleural effusion. A prospective comparative study. Eur J Cardiothorac Surg. 2006;30(6):827–32.
Hooper C, Lee G, Maskell N. On behalf of the BTS Pleural Guideline Group. BTS-Guideline: Investigation of a unilateral pleura effusion in adults. Thorax. 2010;65:ii4–ii17.
Light R, Rogers J, Moyers J et al. Prevalence and clinical course of pleural effusion at 30 days after coronary artery and cardiac surgery. Am J Respir Crit Care Med. 2002;166:1567–71.
Bender B, Murthy V, Chamberlain RS. The changing management of chylothorax in the modern era. Eur J Cardiothoracic Surg. 2016;49(1):18–24.
Perera E, Bhatt S, Dogra VS. Complications of denver shunt. J Clin Imaging Sci. 2011;1:6.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing Switzerland
About this chapter
Cite this chapter
Kugler, C. (2017). Indications for Draining the Chest. In: Kiefer, T. (eds) Chest Drains in Daily Clinical Practice . Springer, Cham. https://doi.org/10.1007/978-3-319-32339-8_3
Download citation
DOI: https://doi.org/10.1007/978-3-319-32339-8_3
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-32338-1
Online ISBN: 978-3-319-32339-8
eBook Packages: MedicineMedicine (R0)