Is trocar guidance for chest tube insertion a disappearing art?

Kedar S. Deshpande, Chang Shim, Anthony J. Tortolani, Vladimir Kvetan

Research output: Contribution to journalReview articlepeer-review


While blunt dissection is the technique most often used for chest tube insertion, trocar guidance is a safe and effective alternative when used with proper technique in selected patients. In fact, trocar guidance may be the preferred technique in patients who have a tension pneumothorax, a large pneumothorax, a large pleural effusion, or a thick pleural peel surrounding an effusion. Compared with blunt dissection, trocar guidance has the advantages of taking less time and causing less patient discomfort. However, when a chest tube is required for a small pleural effusion or a small pneumothorax, blunt dissection with digital exploration or insertion of a pigtail catheter under CT guidance is preferable to the trocar technique.

Original languageEnglish (US)
Pages (from-to)96-98
Number of pages3
JournalJournal of Respiratory Diseases
Issue number2
StatePublished - Jan 1 2002

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine


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