Evaluation of outcome of pig tail catheter in comparison with thoracostomy tube in treatment of pleural effusions in ill patients

Abstract

Pleural effusion is the accumulation of fluid in the pleural space that must be drained by surgical instruments and divided into two types, exudate and transudate. Given the importance of the issue in terms of health, social and economic, lack of accurate information in this regard, and the few studies that have been done in this field in Iran and especially in this region. Therefore, according to the mentioned topics, we decided to investigate the pig tail catheter in comparison with thoracostomy tube in the treatment of plural effusion in critically ill patients with ICU. Materials and Methods: To conduct this cross-sectional-descriptive study, the research population was considered as the general population of critically ill ICU patients of Imam Reza Hospital in Tabriz in the years 1394 to 1397, which had pleural effusion and the possibility of thoracic drainage required for them. The pulmonary catheter was implanted with one of the methods of thoracostomy tube or pigtail catheter, examined and entered into the study, which was a complete sample size. Age, sex, type of disease, type of catheter used, amount of pain during, 24 hours and 48 hours after catheter insertion and when the catheter was removed were determined and also the complications such as pneumothorax, bleeding and organ damage were evaluated and in Finally, the therapeutic results after catheter removal, which includes the removal of opioids, were evaluated by radiographic examination, and the duration of catheter embedding was recorded and the catheter 24-hour drainage was also evaluated. Finally, all these items were recorded in the relevant checklists, and finally, the advantages and disadvantages of these two types of catheters were examined. The discharge was measured in 24 hours. Results: Pain during implantation, pain 24 hours after implantation, and pain 48 hours after implantation and pain during catheter removal were significantly lower in pigtail catheter than in chest tube pain. In 96.7% of patients with embedded cyst tubes, improvement was seen, which is significantly higher than pigtail catheters. In 3.8% of patients, a pleurodesis test was performed, which was significantly lower than in patients with a pig tail catheter (36%). In the test tube group, the amount of secretion was only inversely related to hematocrit and hemoglobin. As hemoglobin and hematocrit increase, the amount of secretion decreases slightly. In the pigtail group, the amount of secretion was related to PTT and with increasing PTT, the amount of secretion increased.