5/11/2023 0 Comments Pleur evac drainage at homeThese catheters are of a smaller caliber than PleuRx, and autorepositioning in the chest is facilitated as the effusion resolves. Pigtail catheters are placed percutaneously and curl inside the body cavity, thus holding them in place. Traditional pigtail-type catheters are another option for chronic drainage of pleural effusions. Complications from catheters are uncommon and tend to be minor (e.g., local skin infection, catheter occlusion, and skin breakdown), but they can be severe (e.g., pleural fluid infection). The catheter provides the patient with control over the effusion and has been proven safe and effective in the outpatient setting.Īutopleurodesis occurs in approximately 40% of patients by 30 days. A tunneled pleural catheter is an option for palliating malignant pleural effusion, both in patients with a good performance status and for those deemed clinical unsuitable for chest tube pleurodesis. Patients and families can readily be taught to access the catheter at home and to drain up to 1000 mL of fluid every other day. Von Roenn, in Palliative Care (Second Edition), 2011 InterventionalĪ tunneled pleural catheter (e.g., PleuRx catheter) permits long-term drainage on an outpatient basis and controls the effusion and related symptoms for more than 80% of patients.
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