The Complication of Tube Thoracostomy in Various Pleural Disease

· Interventional Pulmonology

Adi Rosadi, Boedi Swidarmoko, Pudjo Astowo

Background: Tube thoracostomy is simple invasive procedure but many aspects must be evaluated regarding the underlying disease, place of insertion, type of chest tube, technique and complication. No data regarding complication of tube thoracostomy in various pleural diseases in Indonesia.
Methods : Prospective study was done at Persahabatan Hospital from July 2007-2008 and subject was all adult patients with pleural diseases requiring for a tube thoracostomy. Data were collected data at the time of chest drain insertion and followed until drain removal and various aspect of all tube thoracostomies were evaluated.
Results : Forty three tube thoracostomies were performed over a 10-month period. The most common initial indication was pneumothorax (48,8%). The most common technique was trocar tube thoracostomy with the nelaton catheter and the most common size was 20F. The most common site of insertion was right thorax (55,8%) and in the triangle of safety (43,6%). Reexpansion pulmonary edema occurred in 1 patient. The average duration of chest tube placement until removal was 17,3±11,3 days. The mortality in the patient population due tothe insertion of chest tube was 2,3% (1/43) and due to underlying diseases was 16,3% (7/43) with the most cause of death was respiratory failure (50%).
Conclusion: Tube thoracostomy can be safely performed with relatively few associated problems and fatal complication. (J Respir Indo. 2014; 34: 26-35)

Key words: tube thoracostomy, pleural disease, complication.

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