BACKGROUND: The use of thoracostomy tube for drainage of parapneumonic effusion is an important therapeutic measure. In this study, we compared the effectiveness and complications between chest tube and pigtail catheter thoracostomy for drainage of parapneumonic pleural effusion in children. METHODS: We retrospectively reviewed the medical records of children with parapneumonic effusion during the period of July 2001 through December 2003. Patients who received thoracostomy with either chest tube or pigtail catheter were enrolled into this study. Medical records, such as age, sex, clinical presentation, subsequent therapies, hospital stay, laboratory data, and complications, were collected and compared between these two methods of intervention. RESULTS: A total of 32 patients (17 boys and 15 girls; age range, 2-17 years; mean age, 14 years) were enrolled into the study. Twenty patients were treated with traditional chest tubes, whereas 12 patients were treated with pigtail catheters. In the chest tube group, drainage failure occurred in one patient and pneumothorax occurred in two patients. In the pigtail catheter group, drainage failure occurred in two patients, but no case was complicated with pneumothorax. There were no significant differences in either drainage days or hospitalization days between the chest tube group and pigtail catheter group (6.0 ± 2.6 vs. 5.9 ± 3.8, p=0.66; 12.5 ± 5.6 vs. 17.3 ± 8.5, p=0.13). CONCLUSION: The effectiveness and complications of the pigtail catheter were comparable to those of the chest tubes.
BACKGROUND: The use of thoracostomy tube for drainage of parapneumonic effusion is an important therapeutic measure. In this study, we compared the effectiveness and complications between chest tube and pigtail catheter thoracostomy for drainage of parapneumonic pleural effusion in children. METHODS: We retrospectively reviewed the medical records of children with parapneumonic effusion during the period of July 2001 through December 2003. Patients who received thoracostomy with either chest tube or pigtail catheter were enrolled into this study. Medical records, such as age, sex, clinical presentation, subsequent therapies, hospital stay, laboratory data, and complications, were collected and compared between these two methods of intervention. RESULTS: A total of 32 patients (17 boys and 15 girls; age range, 2-17 years; mean age, 14 years) were enrolled into the study. Twenty patients were treated with traditional chest tubes, whereas 12 patients were treated with pigtail catheters. In the chest tube group, drainage failure occurred in one patient and pneumothorax occurred in two patients. In the pigtail catheter group, drainage failure occurred in two patients, but no case was complicated with pneumothorax. There were no significant differences in either drainage days or hospitalization days between the chest tube group and pigtail catheter group (6.0 ± 2.6 vs. 5.9 ± 3.8, p=0.66; 12.5 ± 5.6 vs. 17.3 ± 8.5, p=0.13). CONCLUSION: The effectiveness and complications of the pigtail catheter were comparable to those of the chest tubes.
Authors: Raffaella Panza; Giorgia Prontera; Kevin Nicholas Ives; Sanja Zivanovic; Charles C Roehr; Michele Quercia; Federico Schettini; Francesco Paolo Bianchi; Silvio Tafuri; Antonio Di Mauro; Nicola Laforgia Journal: Eur J Pediatr Date: 2019-10-26 Impact factor: 3.183
Authors: Charles A James; P Spencer Lewis; Mary B Moore; Kevin Wong; Emily K Rader; Paula K Roberson; Nancy A Ghaleb; Hanna K Jensen; Amir H Pezeshkmehr; Michael H Stroud; Daniel J Ashton Journal: Pediatr Radiol Date: 2022-04-22
Authors: Sa Il Kim; Hyun Jung Kwak; Ji-Yong Moon; Sang-Heon Kim; Tae Hyung Kim; Jang Won Sohn; Dong Ho Shin; Sung Soo Park; Ho Joo Yoon Journal: Tuberc Respir Dis (Seoul) Date: 2013-06-25