Really nice, clear video and easy to follow instructions. I only have one comment; for most spontaneous pneumos, I've been simply aspirating them, not leaving any tube in there, observe in the ED for a few hours with a repeat CXR, discharge and have the patient have follow up CXR's as an outpatient. Any comment about that approach?
Is all this equipment from a commercially available kit? If so, what kit are you using? If you are assembling all of the pieces individually, what are you using?
Caution when aspirating pneumothorax that has been ongoing for some time--my case 10 days. Acutely expanding collapsed lung can cause significant V/Q mismatch and problems.
I have questions about the pig tail catheter chest tube video:
1. What is the different between aspirating with a syringe at the end of the procedure vs just hooking the pigtail up to a pleurovac. It seems like the pleurovac suction would do the same thing and quicker?
2. Do you have any idea why the pigtail was developed the way it was over simply having a small french straight chest tube. What I am wondering, is what the pig tail actually does better than a small chest tube? Does the pig tail form better around the lung tissue?
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Paul S. - January 23, 2020 10:43 PM
Really nice, clear video and easy to follow instructions. I only have one comment; for most spontaneous pneumos, I've been simply aspirating them, not leaving any tube in there, observe in the ED for a few hours with a repeat CXR, discharge and have the patient have follow up CXR's as an outpatient.
Any comment about that approach?
Andrea W. - February 4, 2020 2:24 PM
Is all this equipment from a commercially available kit? If so, what kit are you using? If you are assembling all of the pieces individually, what are you using?
Evan P. - February 9, 2020 10:49 PM
The Wayne Pneumothorax kit is the one we use at my hospital. It has everything pictured on his set-up.
Christopher F. - April 19, 2020 5:52 PM
Caution when aspirating pneumothorax that has been ongoing for some time--my case 10 days. Acutely expanding collapsed lung can cause significant V/Q mismatch and problems.
SD - October 8, 2020 9:32 AM
Instead of manual inspiration, what about just utilizing suction before allowing them to sit up?
Burner - January 2, 2021 10:13 AM
That seems like a good question. Have you tried this?
Alonso M. - April 21, 2022 4:46 PM
This! I was thinking the same thing... any problems if you connect to suction?
Burner - January 2, 2021 10:33 AM
Great video. I placed one in a vented covid patient, and it flopped down over the diaphragm. Now I understand why and how to prevent that.
Jonathan C., D.O. - January 13, 2021 10:04 AM
I have questions about the pig tail catheter chest tube video:
1. What is the different between aspirating with a syringe at the end of the procedure vs just hooking the pigtail up to a pleurovac. It seems like the pleurovac suction would do the same thing and quicker?
2. Do you have any idea why the pigtail was developed the way it was over simply having a small french straight chest tube. What I am wondering, is what the pig tail actually does better than a small chest tube? Does the pig tail form better around the lung tissue?