Complications of Small Bore (Pigtail) Catheter Compared to Large Bore Catheter in Pleural Effusion Drainage

· Interventional Pulmonology

Shira Nour Rizana,1 Widirahardjo,1 Noni Novisari Soeroso,2 Putri Chairani Eyanoer2

1Departemen Pulmonologi dan Kedokteran Respirasi Fakultas Kedokteran Universitas Sumatera Utara, RSUP H. Adam Malik, Medan
2Epi-Treat Unit Lembaga Penelitian Pengembangan Masyarakat Universitas Sumatera Utara, Medan

Background: Placement of large bore catheher is an invasive procedure with potential morbidity and complications. In contrast, pigtail catheter is asafe and less invasive procedure for draining pleural fluid. However, the efficacy of pigtail cathether compared to large bore catheter is still not fully understood. The aim of this study was to compare pigtail catheter andlarge bore catheter in terms of complications.
Methods: This is a descriptive study that compare the complications of using pigtail (12 F) and large bore (28 F) catheter in cases of pleural effusion in Adam Malik General Hospital Medan from February-July 2016.
Results: Total 32 subjects were analyzed, consist of pigtail group 16 were patients and large bore group 16 were patients. The complications include dislodgement 27,2% and pain at insertion site ± VAS 2,25 in pigtail group. In large bore group there were pneumothorax 36,3%, infection at insertion site 18,1%, flexed catheter9%, blocked catheter 9% and pain at insertion site ± VAS 5. The mean duration of drainage was 12,31 days in pigtail group and 12 days in large bore group.
Conclusion: Small bore (pigtail) catheter has less complication in terms of less pain and to large bore catheter. (J Respir Indo. 2017; 37: 91-5)
Keywords: Pigtail catheter, large bore catheter, pleural effusion

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