Safe site selection for chest drain insertion by trainee physicians — Implications for medical training and clinical practice

Published: 27 October 2015
Author(s): John P. Corcoran, Robert J. Hallifax, Ambika Talwar, Ioannis Psallidas, Najib M. Rahman
Issue: October 2015
Section: Letters to the Editor

The number of patients with symptomatic pleural disease who require diagnostic and/or therapeutic intervention is increasing. Many of these patients will present acutely to emergency departments or medical admissions units. As a consequence, pleural procedures such as intercostal chest drain (ICD) insertion must be performed regularly and on both emergent and planned bases for common conditions such as pleural effusion and pneumothorax. Whilst some larger centres have specialist teams who provide a responsive interventional service [1], in the majority of hospitals these pleural procedures are still performed by clinicians of all specialties.