Early dislodgement of Indwelling Pleural Catheter (IPC): a balancing act.

Autor: Tung AH; Department of Medicine and Therapeutics, Prince of Wales Hospital Hong Kong., Ngai JC; Department of Medicine and Therapeutics, Prince of Wales Hospital Hong Kong., Ng SS; Department of Medicine and Therapeutics, Prince of Wales Hospital Hong Kong., Ko FW; Department of Medicine and Therapeutics, Prince of Wales Hospital Hong Kong., Hui DS; Department of Medicine and Therapeutics, Prince of Wales Hospital Hong Kong ; Department of Medicine and Therapeutics, Chinese University of Hong Kong Hong Kong.
Jazyk: angličtina
Zdroj: Respirology case reports [Respirol Case Rep] 2014 Mar; Vol. 2 (1), pp. 13-4. Date of Electronic Publication: 2014 Jan 10.
DOI: 10.1002/rcr2.33
Abstrakt: A 63-year-old nonsmoker with right malignant pleural effusion derived symptomatic benefit following drainage of his effusion. Following insertion of indwelling pleural catheter (IPC), 1.3 L of blood-stained fluid was drained into underwater sealed bottle (Atrium®), but the IPC dislodged 26 h after continuous connection. We believe that the weight of the drainage bottle (including the un-emptied fluid) and the prolonged connection time contributed to this uncommon event reported in the literature. There was no recurrence when his second IPC was connected to a drainage bag which was emptied at every 500 mL, capped at 2 h each time. An anchoring stitch should also be considered when drainage devices heavier than the manufacturer bottles are used to drain IPC.
Databáze: MEDLINE