A Comparative Study Between-Small Bore and Large Bore Tubes for Therapeutic Pleural Drainage

Autor: Muhammad Ramzan, Talha Mahmud, Muhammad Saqib, Abdul Saeed Khan, Qazi Abdul Saboor, Ali Rafique Mirza
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Proceedings, Vol 35, Iss 2, Pp 68-72 (2021)
Druh dokumentu: article
ISSN: 1815-4905
2518-203X
DOI: 10.47489/PSZMC784-35-2-68-72
Popis: Introduction: Pleural effusions due to various pulmonary and extra pulmonary causes are common clinical problems. Some pleural diseases require therapeutic pleurocentesis to decompress the pleural space like in malignant and benign pleural effusions, pyothorax, chylothorax, pneumothorax, complicated parapneumonic effusion and haemothoraces. Traditionally large bore tubes have been used with trocar or through blunt dissection. Nowadays small-bore catheters are gaining popularity, as they are less painful and believed to be equally efficacious as compared to large bore tubes. Aims & Objectives: To compare the success rate of small bore tubes with standard large bore chest tubes in therapeutic pleural drainage and to compare complications rate between small bore and large bore drains. Place and duration of study: The study was conducted at Department of Pulmonology of FPGMI, Shaikh Zayed Hospital, during one year (2015-2016). Material & Methods: Total 152 patients who required therapeutic evacuation of pleural space suffering from pneumothorax, empyema, parapneumonic and malignant effusion, were enrolled and underwent therapeutic drainage with small bore (< 20 F size) and large bore tubes (> 20 F size), randomized by lottery method. Results: The mean duration of drain placement for large bore drain was 7.9±3.8 days, which was significantly higher than small bore drains with a mean value of 3.0±1.6 days (p-value
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