Resident physician training in bedside pleural procedures: A one-year experience at a teaching hospital

Diego Arley Gomes da Silva, Paula Duarte D'Ambrosio, Fabio Eiti Nishibe Minamoto, Bernardo Mulinari de Lacerda Pessoa,Eserval Rocha Junior,Leticia Leone Lauricella,Ricardo Mingarini Terra,Paulo Manuel Pêgo-Fernandes,Alessandro Wasum Mariani

Clinics(2024)

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摘要
Background and objective This study aims to quantify bedside pleural procedures performed at a quaternary teaching hospital describing technical and epidemiological aspects. Materials and methods The authors retrospectively reviewed consecutive patients who underwent invasive thoracic bedside procedures between March 2022 and February 2023. Results 463 chest tube insertions and 200 thoracenteses were performed during the study period. Most procedures were conducted by 1st-year Thoracic Surgery residents, with Ultrasound Guidance (USG). There was a notable preference for small-bore pigtail catheters, with a low rate of immediate complications. Conclusion Bedside thoracic procedures are commonly performed in current medical practice and are significant in surgical resident training. The utilization of pigtail catheters and point-of-care ultrasonography by surgical residents in pleural procedures is increasingly prevalent and demonstrates high safety.
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关键词
Pleural diseases,Thoracentesis,Thoracic drainage,Minor surgical procedures,Medical education
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