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- E Altman, A Ben-Nun, W Curtis, and L A Best.
- Department of Thoracic Surgery, Rambam Medical Center, 8 Ha'Aliya Street, 35254, Haifa, Israel.
- Am. J. Surg. 2001 Apr 1;181(4):354-5.
AbstractClosed tube thoracostomy is a standard procedure for the evacuation of air, blood, or other materials from the pleural space. This paper describes a modification of the Seldinger technique that facilitates chest tube insertion. Either a Nelaton or Thieman catheter is threaded into the side drainage hole and out the tip of a standard Argyle-type chest tube. After using the clamp to insert the catheter into the pleural space through a previously dissected tract, the catheter serves as a guide over which the chest tube is inserted. The technique is simple to use, effective, and safe. It employs standard, inexpensive materials to insert chest tubes in such a way as to minimize the potential traumatic complications inherent in other techniques.
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