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首页> 外文期刊>Acute and critical care. >The Usefulness of Intensivist-Performed Bedside Drainage of Pleural Effusion via Ultrasound-Guided Pigtail Catheter
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The Usefulness of Intensivist-Performed Bedside Drainage of Pleural Effusion via Ultrasound-Guided Pigtail Catheter

机译：超声引导下的猪尾导管进行胸腔积液床旁引流的有用性

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Background There has been little data reporting the usefulness of intensivist-performed bedside drainage of pleural effusion via ultrasound (US)-guided pigtail catheter. The objective of this study is to clarify the usefulness and safety of these methods in comparison with radiologist-performed procedures. Methods Data of patients with pleural effusion treated with US-guided pigtail catheter drainage were analyzed. All procedures were performed from September 2012 to September. 2013 by a well-trained intensivist or radiologist. Results Pleural effusion was drained in 25 patients in 33 sessions. A radiologist performed 21 sessions, and an intensivist performed 12 sessions. Procedures during mechanical ventilation were performed in 15 (71.4%) patients by a radiologist and in 10 (83.3%) by an intensivist (p = 0.678). The success rate was not significantly different in radiologist- and intensivist-performed procedures, 95.2% (20/21) and 83.3% (10/12), respectively (p = 0.538). The average duration for procedures (including in-hospital transfer) was longer in radiologist-performed cases (p = 0.001). Although the results are limited because of the small population size, aggravation of oxygenation, CO2 retention, and decrease of mean arterial blood pressure were not statistically different in the groups. Pigtail-associated complications including hemothorax, pneumothorax, hepatic perforation, empyema, kink in the catheter, and subcutaneous hematoma were not found. Conclusions Intensivist-performed bedside drainage of pleural effusion via ultrasound (US)-guided pigtail catheter is useful and safe and may be recommended in some patients in an intensive care unit.
机译：背景几乎没有数据报道通过超声（US）引导的猪尾导管对胸腔积液进行强化检查的床旁引流的有用性。这项研究的目的是与放射科医生执行的程序相比，阐明这些方法的有用性和安全性。方法分析超声引导下的猪尾导管引流治疗胸腔积液患者的资料。所有程序均从2012年9月至9月执行。 2013年由训练有素的强化医生或放射科医生完成。结果33例患者中有25例患者排出了胸腔积液。放射科医生进行了21次，而强化医生进行了12次。机械通气过程中，放射科医生对15名患者（71.4％）进行了检查，而专科医生对10名患者（83.3％）进行了检查（p = 0.678）。放射科医生和强化科医生的成功率没有显着差异，分别为95.2％（20/21）和83.3％（10/12）（p = 0.538）。在放射科医生进行的病例中，平均手术时间（包括医院内转移）更长（p = 0.001）。尽管由于人群小而结果有限，但两组中氧合加重，CO2保留和平均动脉血压的降低在统计学上没有差异。未发现与猪尾相关的并发症，包括血胸，气胸，肝穿孔，脓胸，导管扭结和皮下血肿。结论超声引导下的猪尾导管对胸腔积液进行床旁引流是有用且安全的，在重症监护病房的某些患者中可能建议使用。

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