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Ann Thorac Surg 2006;82:1543-1544
© 2006 The Society of Thoracic Surgeons

How To Do It

Modified Central Line for Pneumothorax

M. Blair Marshall, MD*

Division of Thoracic Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania; and Division of Thoracic Surgery, Georgetown University Medical Center, Washington, DC

Accepted for publication October 31, 2005.

* Address correspondence to Dr Blair Marshall, Division of Thoracic Surgery, Georgetown University Medical Center, 4 PHC, 3800 Reservoir Rd, Washington, DC 20007 (Email: mbm5{at}gunet.georgetown.edu).

Pneumothoraxes, whether spontaneous or iatrogenic, frequently require drainage. Although the recent trend has been toward a catheter-based approach, many thoracic surgeons continue to use chest tubes. Tube thoracostomy is associated with significant pain at the time of insertion and during continued drainage. Pneumothorax catheters are less painful but more expensive, and some have been associated with significant failure. After disappointing experience with pneumothorax catheters, we have modified a central line to use in lieu of a pneumothorax kit. We have found this technique to be effective, safe, reliable, and inexpensive.




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[Abstract] [Full Text] [PDF]


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