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Kim, Yoon, Lee, and Kwon: Usefulness of Small Caliber Catheter Insertion for a Spontaneous Pneumothorax
Original Article
Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2009; 67(1): 27-31.

Published online: 31 July 2009

DOI: https://doi.org/10.4046/trd.2009.67.1.27

Usefulness of Small Caliber Catheter Insertion for a Spontaneous Pneumothorax

Eun Jung Kim, M.D., Sung Ho Yoon, M.D., Seung Il Lee, M.D., Yong Eun Kwon, M.D.

Department of Internal Medicine, Chosun University College of Medicine, Gwangju, Korea.

Address for correspondence: Yong Eun Kwon, M.D. Department of Internal Medicine, Chosun University Hospital, Chosun University College of Medicine, 588, Seoseok-dong, Dong-gu, Gwangju 501-717, Korea. Phone: 82-62-220-3691, Fax: 82-62-220-3691, allergist@medimail.co.kr

Received 29 April 2009       Accepted 7 July 2009

Copyright©2009. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved.

Abstract

Background

The large caliber catheter used in the treatment of pneumothorax causes great damage to the chest wall and organs. The purpose of this study was to prove that the use of a smaller caliber catheter is effective in treating pneumothorax with decreasing admission period and that the recurrence rate of spontaneous pneumothorax is low.

Methods

Patients who had been admitted for treatment of first time occurrence of pneumothorax between May, 2004 and December, 2008 were included in the study. The caliber of catheter used this study is 18 Guage (1.2 mm). The efficacy of treatment, admission period and recurrence rate of treating pneumothorax with small caliber catheter were compared to the control group using a tube thoracostomy for treatment.

Results

The admission period for primary spontaneous pneumothorax was 10.8±3.6 days for the group (n=68) using tube thoracostomy compared to 4.5±1.3 days for the group (n=31) using the small caliber catheter (p<0.05). There was no statistically significant difference in recurrence rate between the two groups.

Conclusion

The use of a smaller caliber catheter for the treatment of pneumothorax reduces the admission period without a significant increase in recurrence rates.

Keywords: Pneumothorax, Catheterization, Thoracostomy

Figures and Tables

Figure 1
Small caliber catheter used in treating spontaneous pneumothorax (Leader's catheter®; VYGON 95440 ECOUEN E.C length 10 cm, diameter 1.2 mm).
trd-67-27-g001
Figure 2
Small caliber catheter is inserted in first intercostal space at right midclavicular line.
trd-67-27-g002
Figure 3
Radio-opaque catheter line shadow is shown in chest x-ray PA view.
trd-67-27-g003
Table 1
Characteristics of study subjects
trd-67-27-i001

PSP: primary spontaneous pneumothorax.

Table 2
Duration of hospital stay, recurrence rate, and complication
trd-67-27-i002

PSP: primary spontaneous pneumothorax.

*Complication were mild subcutaneous emphysema.

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