Pediatric Chest Tubes and Pigtails
November 2015 Pediatric Chest Tubes And Volume 12, Number 11 Authors Pigtails: An Evidence-Based Jonathan Strutt, MD Pediatric Emergency Department, Children’s Hospital and Clinics of Minnesota, Minneapolis, MN Approach To The Management Anupam Kharbanda, MD, MSc Research Director, Associate Fellowship Director, Department of Pediatric Emergency Medicine, Children's Hospitals and Clinics of Of Pleural Space Diseases Minnesota, Minneapolis, MN Peer Reviewers Abstract Jennifer Mitzman, MD Assistant Professor of Emergency Medicine, The Ohio State Pediatric thoracostomy procedures are used in the emergency depart- University Wexner Medical Center; Assistant Professor of Pediatrics, Nationwide Children’s Hospital, Columbus, OH ment to treat diseases of the pleural space. As children have unique Emily Rose, MD, FAAP, FAAEM, FACEP thoracic anatomy and physiology, they may present with manage- Assistant Professor of Clinical Emergency Medicine, Keck School of ment challenges that the emergency clinician must consider. This Medicine of the University of Southern California, LA County + USC Medical Center, Los Angeles, CA issue reviews the use of chest tubes and pigtail catheters in pediatric CME Objectives patients, techniques and indications for placement, and possible complications. Diagnostic and treatment options for diseases of the Upon completion of this article, you should be able to: 1. Diagnose pleural space disease based on signs and pleural space, such as spontaneous pneumothorax, traumatic injury, symptoms. and parapneumonic effusions/empyema, are examined. Addition- 2. Choose the most effective imaging studies to aid in diagnosis. 3. Determine the types of procedural interventions necessary in ally, this issue discusses the use of imaging modalities to aid in the pleural space disease and when they should be performed.
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