CME: Intercostal Catheter Insertion

Here is Dean’s talk on ICC insertion.

Intercostal catheter insertion from SCGH ED CME

Resources:

• SCGH ED Chest Drain Insertion Guideline
• SCGH ED Policy for the insertion of a chest drain by a trainee in the ED
• BTS Pleural Disease Guidelines 2010: Management of spontaneous pneumothorax
• BTS Pleural Disease Guidelines 2010: Complete includes information on:
  • investigation of a unilateral pleural effusion in adults
  • management of spontaneous pneumothorax
  • management of malignant pleural effusion
  • management of pleural infection in adults
  • local anaesthetic thoracoscopy
  • pleural procedures and thoracic ultrasound – with algorithm for chest drain insertion
• BTS – patient information leaflet on chest drain insertion

BTS Guidelines 2010 Summary Flow Diagram for Mx of Spontaneous Pneumothorax:

Other Procedural links:

• Seldinger Technique
  

• Open ICC Insertion:

Lung Ultrasound:

Here is a very good video explaining the utility and interpretation of lung ultrasound: