The study identifies common errors in pigtail catheter insertion, particularly retention of the obturator. Major contributing factors included human error, communication breakdowns, and. Inclusion in an NLM database does not imply endorsement of, or agreement with, the contents by NLM or the National Institutes of Health. Correspondence to: Amina Saqib. Department of Pulmonary/Critical Care, Staten Island University Hospital, Staten Island, New York, USA. Email:. However, in recent years, guidelines and statements from American College of Chest Physicians (ACCP) and British Thoracic Society (BTS) stress the value of observation, repeat imaging and prompt follow-up for stable, asymptomatic patients with no underlying lung disease or trauma. An ACCP consensus. PURPOSE: To outline the indications and procedure guideline for the insertion and removal of a chest tube (tube thoracostomy) or a pigtail catheter in a trauma patient. In this episode, I discuss points on use and placement.
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