Source: Annual Congress 2010 - Novel approach in diagnosis and treatment of pleural effusions

Abstract

Following a recent National Patient Safety Agency Risk Alert (UK) in 2008, Intercostal Thoracostomy Tube Drains (ITTD) in particular the Seldinger-type ITTD (ST) are under scrutiny. We reviewed all ITTDs between Dec‘08-Nov‘09 in our teaching hospital.
METHOD: ICD code:T124 identified patients who had an ITTD. Casenotes were perused for clinical location(CL) where ITTD done, depth of documentation(DoD), indication,operator experience(OE), size/type of ITTD (SD or large bore), complications & duration of ITTD.
RESULTS: Of the total 186 ITTD, data from 116 is available at the time of abstract submission. Figures:1-3 show the CL and indications and Figures:3-6 show DoD, ITTD type and OE. Table1 shows the duration(days) of ITTD. DoD of complications was not detailed but there were no deaths or major bleeds attributable to ITTD in this cohort
CONCLUSION: Large numbers of ST ITTD are used in our hospital though no major complications were seen in this study cohort. Sub-optimal post-procedural documentation requires addressing.

Table 1: Duration of ITTD after insertion

	1-2 days	3-4 days	5-6 days	7-9 days	≥10 days
Percentage of patients	41%	16%	11%	17%	15%

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Citations should be made in the following way:
F. Kamali, T. Mahmoud, L. Stamp, C. Zalecki, A. Guhan (Middlesbrough, United Kingdom). Chest drain insertion in a teaching hospital: Who, what, why, where, when and how?. Eur Respir J 2010; 36: Suppl. 54, 229

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