A new specifically designed forceps for chest drain insertion☆
Accepted 4 February 2003.
Abstract
Insertion of a chest drain can be associated with serious complications. It is recommended that the drain is inserted with blunt dissection through the chest wall but there is no specific instrument to aid this task. We describe a new reusable forceps that has been designed specifically to facilitate the insertion of chest drains.
A feasibility study of its use in patients who required a chest drain as part of elective cardiothoracic operations was undertaken. The primary end-point was successful and accurate placement of the drain. The operators also completed a questionnaire rating defined aspects of the procedure.
The new instrument was used to insert the chest drain in 30 patients (19 male, 11 female; median age 61.5 years (range 16–81 years)). The drain was inserted successfully without the trocar in all cases and there were no complications. Use of the instrument rated as significantly easier relative to experience of previous techniques in all specified aspects.
The new device can be used to insert intercostal chest drains safely and efficiently without using the trocar or any other instrument.
aDepartment of Cardiothoracic Surgery, Cork University Hospital, Wilton, Cork, Ireland
bDepartment of Surgery, Cork University Hospital, Wilton, Cork, Ireland
☆ Presented to the Annual Meeting of the British Trauma Society, Norwich, 21–22 September 2000, and to the Annual Meeting of the Society of Cardiothoracic Surgeons of Great Britain & Ireland, Nottingham, 18–21 March 2001.
ABSTRACT