Yesterday, I demonstrated how to insert a standard chest tube. Today Jessie Nelson MD, from our Department of Emergency Medicine, demonstrates how to insert a small pigtail type catheter.
Check out this 10 minute video!
Yesterday, I demonstrated how to insert a standard chest tube. Today Jessie Nelson MD, from our Department of Emergency Medicine, demonstrates how to insert a small pigtail type catheter.
Check out this 10 minute video!
Here’s a 9 minute video demonstrating my easy technique for inserting a chest tube. I’ve included some helpful tips and tricks to make this a quick and easy procedure.
Your preparation. You should already have full personal protective gear on, right? Right? Your existing gear is just fine. You do not need to change to sterile gown and gloves. The time wasted is probably not worth the low risk of infection in the rare event that the mother survives.
You need at least one assistant, preferably two. They will pass you instruments and provide retraction. Continue CPR throughout the procedure.
At the same time, call your OB and neonatal colleagues, if you haven’t already. If you don’t have any at your hospital, don’t sweat it. If you do, don’t wait for them to arrive.
Patient preparation. Have someone quickly insert a foley catheter.
Do not use sterile technique. It just slows things down. The bladder needs to be empty so you can quickly and easily get to the uterus.
The procedure. Here’s the blow by blow:
Here’s a video that shows how quickly the procedure can be done (with a few edits). Just watch the first 47 seconds!
Yesterday, I described a technique for providing a secure yet short-term airway tailored to patients who can’t have a tube in their mouth or nose. Patients undergoing multiple facial fracture repair are probably the best candidates for this procedure.
A picture may be worth a thousand words, but a video is even better. Please note that it is explicit and shows the blow by blow surgical procedure. Of note, it is a quick and relatively simple advanced airway technique.
Related post:
Here’s a 9 minute video demonstrating my easy technique for inserting a chest tube. I’ve included some helpful tips and tricks to make this a quick and easy procedure.