Two-Year Experience of 14 French Pigtail Catheters Placed by Procedure-Focused Hospitalists. J Hosp Med 2020 Sep;15(9):526-530
Date
03/21/2020Pubmed ID
32195653DOI
10.12788/jhm.3383Scopus ID
2-s2.0-85090571926 (requires institutional sign-in at Scopus site) 3 CitationsAbstract
BACKGROUND: Recent studies show small-bore chest tubes, commonly 14 French pigtail catheters (PCs), are noninferior to large-bore chest tubes for treating various conditions, and they are associated with better patient comfort. The Medical College of Wisconsin implemented a bedside procedure service (BPS) that has been trained in the placement of PCs as an adjunct to its interventional radiology department.
METHODS: The data regarding consults for PC placement was collected by the BPS over a 2-year period. Primary outcomes reviewed were insertion-related complications (IRCs), unsuccessful attempts (UAs), and adverse outcomes (AOs) because the authors believe these represent the safety and effectiveness of the group. It was determined which services consulted the BPS for PC placement, the indications for consults, and a brief review of declined PC consults.
RESULTS: Of the 124 accepted consults, the service had 3 IRCs (2.4%), 2 UAs (1.6%), and 3 AOs (2.4%). A total of 18 consults were declined. The BPS was consulted by 12 services with 8 primary reasons for PC placement.
CONCLUSIONS: At high-volume, tertiary care centers, and with the support of cardiothoracic surgical and interventional radiology services, procedure-focused hospitalists can safely serve as an adjunct service for PC placement in selected hospitalized patients.
Author List
Puetz J, Segon A, Umpierrez AAuthor
Joseph R. Puetz MD Assistant Professor in the Medicine department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
CathetersChest Tubes
Hospitalists
Humans
Pneumothorax
Retrospective Studies
Treatment Outcome