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Studies included were those involving hospital patients with a chest drain in situ.
Insertion of a chest drain can be associated with serious complications.
All participants compared the insertion of the MIDCM device favorably with the insertion of a chest drain.
Conclusion: The MIDCM device can be placed in a few seconds in human cadavers by physicians familiar with chest drain insertion.
Theoretical course and training with the device may be useful especially for those who are not familiar with chest drain insertion.
On one occasion I placed a chest drain into a patient with a spontaneous pneumothorax – a collection of air between the lung and the chest wall.
This device is not commonly used as a chest drain and presents some limitations.
These include: having needle only sharps bins, and solidifying chest drain bottles post removal.
No pathogenic organisms were identified by sputum and pleural effusion of chest drain cultures.
Larger, symptomatic pneumothorax requires active intervention by needle aspiration or chest drain insertion [16].
Ground glass opacity (arrow) surrounding the chest drain represents lung laceration.
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