Comments

Comment by hulaasch Commented May 21, 2011

Impact factor: 130

User Rating

Following the MHRA alert on 12Fr. Rocket/Portex"Seldinger" drain sets, we have made this the standard chest drain for "clinicians" (whatever those are) to place after US-marking.
Subsequent to this the radiologists had a few pneumothoraces with locked pigtail catheters, assumed caused through forgetting to occlude the string channel.
SafeTcentesis now THE catheter for chest drainage at The Christie.

People, particularly surgeons, always argue about drain size. However we drain 8-10l of ascites through a 7Fr. Pigtail for our day cases and only want 1500ml in 24 hrs from the chest - 6Fr. ample for that.

It works like an oversized iv cannula. Point and push. A spring loaded blunt obturator is pushed back as it is inserted into the chest/abdominal wall turning an indicator red. When the needle enters the pleura/peritoneum the obturator clicks forward, the indicator goes white and fluid can be aspirated from the trocar. Advance the catheter off the needle and your done.
It's dead quick, also great for tension pneumothorax, but you have to push harder than with a standard "pig-on-a-stick".

Comment by rodo Commented Dec 5, 2010

Impact factor: 140

User Rating

In our institution do not exist specialized nurses to position devices. If clinicians do not require US guided puncture for toracentesis and paracentesis, those are conducted with this kind of device. No complications occurred in over 500 procedures. Costs are justified by security.

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