Title: Role of ICD in Pleural Diseases
Authors: Niaz Farhat, K.N. Mohan Rao, Nabil Ahmed Salim, Pradeep Ishwarappagol
DOI: https://dx.doi.org/10.18535/jmscr/v6i3.116
Abstract
Study Objective: To evaluate the outcome of Intercostal drainage (ICD) in pleural diseases performed in the department of Respiratory Medicine in Rajarajeswari Medical College and Hospital over a period of one year.
Design: Retrospective.
Patients: All adult patients requiring consultation by a respiratory physician for a ICD.
Results: Data collected over 1year period, 56 patients had undergone intercostal chest drain insertions. Descriptive data are displayed in Table 1.Out of these 31 patients were pneumothorax (55.36%) and 25 ICD insertions were for pleural effusions (44.64%). Average extubation time for ICD in pneumothorax patients is 13.6 days and for pleural effusion patients is 9 days. 10.7% of total pneumothorax cases were primary spontaneous and 89.3% were secondary spontaneous pneumothorax. Majority of pleural effusion cases were tubercular and other causes of effusion were malignancy and empyema.
Conclusions: ICD can be safely performed by pulmonologists with relatively few associated problems. Average extubation time for ICD in pneumothorax cases can be extended to 10-15 days.
Keywords: Intercostal Chest Drain; Pneumothorax; Pleural Effusion.
