Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Sign In to gain access to subscriptions and/or personal tools.
Palliative Medicine
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Thomas, R.
Right arrow Articles by Maher, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Thomas, R.
Right arrow Articles by Maher, J.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Pneumothorax and palliative pleural aspiration - an audit of technique

Robert Thomas

The Meyerstein Institute of Clinical Oncology, London

Jane Maher

Mount Vernon Centre for Cancer Treatment, Mount Vernon Hospital, Middlesex

The incidence of pneumothorax following a review of 55 single-sitting bedside pleural aspirations of malignant effusions over an 18-month period in the clinical oncology departments of the Middlesex and Mount Vernon Hospitals was assessed and two groups were compared. Group 1 (29 aspirations in 16 patients) involved a technique using an 8 ch (French) gauge trocar and cannula, a three-way tap and a sealed bag system, resulting in no pneumothoraces. Group 2 (26 aspirations in 18 patients) involved a variety of other techniques with a pneumothorax rate of 19.2% (p = 0.0189 using Fisher's Exact Test). The small trocar/sealed bag system was complication-free, relatively painless, quick to perform, cheap, gave the option of draining to dryness and was easily learnt by the junior doctors who most often perform this procedure at the bedside. This technique is described in detail in the text. A reduction in the risk of pneumothorax minimizes the need for a postaspiration chest radiograph, facilitating aspiration in an outpatient, hospice or domiciliary setting. A domiciliary study is to be planned using the procedural standard described.

Key Words: chest tubes • pleural effusion (malignant) • palliative treatment • pneumothorax

Palliative Medicine, Vol. 7, No. 2, 157-161 (1993)
DOI: 10.1177/026921639300700211
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?