PleurX Catheter

Indications

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Technique

  • Suction Set-Up
    • Set Wall Suction to Regulated at 150
    • Connect PleurX Connector Tubing to Suction Cannister
    • Close Inline Valve in PleurX Connector Tubing
  • Preparation of Site
    • Remove Chest Wall Dressing
    • Prep PleurX Catheter and Chest Wall Site with Chlorhexidine Gluconate Swabs
  • Connection of PleurX Catheter
    • Twist Off Existing PleurX Cap and Discard
    • Connect PleurX Connector (with Closed Inline Valve): push and twist on the connector to open the one-way valve within the PleurX catheter
  • Drain Pleural Fluid
    • Open Inline Valve to Drain Pleural Fluid Slowly: monitor closely for chest pain during drainage
    • Drain Approximately 1L Pleural Fluid Per Day
    • Stop Drainage Immediately if Patient Develops Central Chest Pain
    • Continue Daily Pleural Drainage Until Output is <150 mL/day, Then Change to qOD Drainage
  • Re-Preparation of Site
    • Re-Prep PleurX Catheter with Chlorhexidine Gluconate Swabs
    • Replace PleurX Catheter Cap and Coil Catheter into a “Pretzel” Shape
  • Re-Dress PleurX Catheter
    • Place Slotted Foam Dressing Against the Skin
    • Place the “Pretzeled” PleurX Catheter on Top of the Foam Dressing
    • Place Gauze 4×4 on Top of the PleurX Catheter
    • Adhesive Dressing is Placed on Top: burp out air from under dressing to create a vacuum

Adverse Effects/Complications

Pulmonary Adverse Effects/Complications

  • PleurX Catheter Infection
  • PleurX Catheter Occlusion
    • May Be Treated with tPA to Restore Patency

References

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