Comments on: Broken-hearted chest drain http://lifeinthefastlane.com/2009/12/cardiovascular-curveball-001/ Emergency Medicine education blog Sat, 11 Feb 2012 16:17:01 +0000 hourly 1 http://wordpress.org/?v= By: Duncanhttp://lifeinthefastlane.com/2009/12/cardiovascular-curveball-001/#comment-18707 Duncan Tue, 29 Nov 2011 05:27:31 +0000 http://lifeinthefastlane.com/?p=8760#comment-18707 A course of IV cephalothin for the duration of the drain is also worth considering to avoid the infection concern (echoing Chris, the finger in is a safety feature). Particularly hurried ED trauma ICCs - even with the best intent and care, our infection rates will be higher.http://www.bestbets.org/bets/bet.php?id=121I'm sure there is additional evidence supporting the duration of the ICC rather than just 24h as well. A course of IV cephalothin for the duration of the drain is also worth considering to avoid the infection concern (echoing Chris, the finger in is a safety feature). Particularly hurried ED trauma ICCs -- even with the best intent and care, our infection rates will be higher.

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I’m sure there is additional evidence supporting the duration of the ICC rather than just 24h as well.

]]> By: Chris Nicksonhttp://lifeinthefastlane.com/2009/12/cardiovascular-curveball-001/#comment-17586 Chris Nickson Sun, 04 Sep 2011 15:48:09 +0000 http://lifeinthefastlane.com/?p=8760#comment-17586 Hi Pete, Even with ultrasound I'd recommend putting a finger in, otherwise there might still be adhesions that can cause problems. Also it helps ensure that the tract actually passes into the pleural cavity. I should imagine the infection risk from a surgically prepped hand inside 2 layers of sterile gloves is much less that simply having a tube sticking in your chest. Chris Hi Pete,
Even with ultrasound I’d recommend putting a finger in, otherwise there might still be adhesions that can cause problems. Also it helps ensure that the tract actually passes into the pleural cavity.
I should imagine the infection risk from a surgically prepped hand inside 2 layers of sterile gloves is much less that simply having a tube sticking in your chest.
Chris

]]> By: Petehttp://lifeinthefastlane.com/2009/12/cardiovascular-curveball-001/#comment-11762 Pete Wed, 25 Aug 2010 19:47:00 +0000 http://lifeinthefastlane.com/?p=8760#comment-11762 Amazing that even in 2009 people are practicing medicine in the dark ages. Has ultrasound been around long enough for you to have heard about it? Putting "fingers in" is what surgeons do to give all their patients MRSA. Amazing that even in 2009 people are practicing medicine in the dark ages. Has ultrasound been around long enough for you to have heard about it? Putting “fingers in” is what surgeons do to give all their patients MRSA.

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