USE OF A NEW DEVICE FOR DRAINAGE OF THE PLEURAL CAVITY IN CHILDREN

Abstract

We have received a patent for a utility model of the Republic of Kazakhstan No. 97674 dated 05/03/2016 with the name 
trocar for thoracentesis in children, which is effectively used for drainage of the pleural cavity in acute bacterial destructive 
pneumonia (ABDP) in children. For thoracentesis, a trocar with a handle having a connula and a stylet with a pointed cone
shaped perforator placed in it is used. The conule and stiletto, respectively, have a 90-degree bend. When using a device for 
thoracentesis, due to the arcuate bend of the conula, it is easy to correctly install the drainage tube along the chest in the 
apical direction, which ensures effective drainage and sanitation of the pleural cavity in case of pyopneumothorax in children. 
A sharp cone-shaped stylet perforator, reducing trauma to soft tissues, can reduce the time of surgery, which improves 
treatment outcomes and length of stay in the hospital. The device was used in 27 children with the pulmonary pleural form 
(PPF) of APDP; complications were observed in one patient (wound suppuration in the drainage area). The manipulation is 
easily learned by general practitioners. At the same time, the average time to perform the manipulation was 10-12 minutes.