Chest Drain Insertion-Made Easy with Gum Bougie

作     者：Sanjeev Arya Shantanu Belwal Puneet Tyagi 

作者机构：Medical Intensive Care Unit Max Super Speciality Hospital Dehradun India Max Super Speciality Hospital Dehradun India 

出 版 物：《Case Reports in Clinical Medicine》 (临床医学病理报告（英文）)

年 卷 期：2019年第8卷第10期

页      面：275-280页

学科分类：080903[工学-微电子学与固体电子学] 0809[工学-电子科学与技术（可授工学、理学学位）] 08[工学] 080501[工学-材料物理与化学] 0805[工学-材料科学与工程（可授工学、理学学位）] 080502[工学-材料学] 

主　　题：Surgical Chest Drain Insertion Seldinger Railroad Gum Bougie Pneumothorax Obese 

摘      要：Background: Surgical Chest drain insertion is a lifesaving procedure. It requires skills and experience towards its prompt insertion. Quite often there is delay or failure caused in its insertion due to excessive fat and loose skin in the axillary area while using the conventional methods. Numerous guidelines exist advising its safe placement, but mishaps still occur, as reported multiple times, while placing the chest drain. In addition to this, a delay or failure of its successful insertion can lead to disastrous consequences. Case: We would like to share, with fellow readers, a novel technique which we used in placing a surgical chest drain successfully. We used a gum bougie to guide the chest drain into the pleural cavity instead of using metal trocar, stellate or long forceps. Conclusion: By using this method, we experienced that not only it reduced the amount of time taken for the procedure, but it also had positive impact on the ease of insertion without fear of causing damage to internal organs, which ultimately boosted the operator’s confidence.