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Chapter 54 - Chest Drain Insertion

Published online by Cambridge University Press:  17 December 2021

By
Marilyn McDougall
Edited by
Shelley Riphagen  and
Sam Fosker
Shelley Riphagen
Affiliation:
Evelina Children’s Hospital, London and South Thames Retrieval Service
Sam Fosker
Affiliation:
Evelina Children’s Hospital, London
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Summary

Fortunately, the need to insert a chest drain during paediatric retrievals is rare (<1% of retrievals). However, when necessary, a chest drain may need to be inserted quickly and safely, to prevent further deterioration. Pleural collections can compromise both the respiratory and cardiac systems. Most children with a chest drain will subsequently require transfer to a tertiary PICU or respiratory centre for ongoing management of their chest drain.

Type
Chapter
Information
Cases in Paediatric Critical Care Transfer and Retrieval Medicine , pp. 293 - 298
Publisher: Cambridge University Press
Print publication year: 2022

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References

Further Reading

Henretig, FM, King, C. Textbook of paediatric emergency procedures. Williams and Wilkins 1997.Google Scholar
Lamont, T. Insertion of chest drains: Summary of the safety report from National Patient Safety Agency. BMJ 2009;339:b4923.CrossRefGoogle ScholarPubMed
MacDuff, A, Arnold, A, Harvey, J, et al. Management of spontaneous pneumothorax: British Thoracic Society pleural drain guideline 2010. Thorax 2010;65(Suppl 2)ii:18–31.CrossRefGoogle Scholar
Maskell, N, British Thoracic Society Pleural Disease Guideline Group. British Thoracic Society Pleural Disease Guidelines 2010 Update. Thorax 2010;65 667–9.CrossRefGoogle ScholarPubMed

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