Warning issued over chest drain incidents

Concerns have been raised over a number of incidents that have led to patient harm, prompting the publication of a National safety alert.

A review of the National Reporting and Learning System (NRLS) over a recent three-year period identified 16 incidents where patients experienced acute and significant deterioration after uncontrolled or unmonitored drainage of a pleural effusion; two of these patients died and a cardiac arrest call was made for one patient although the outcome was not reported. The incident reports suggested:

  • Staff did not expect large quantities of pleural fluid to drain;

  • Observations and monitoring of patients after chest drain

    insertion were either not timely or not done;

  • Plans to manage the rate of fluid drainage were not

    documented or not followed.

Following these findings, a joint National Patient Safety Alert has been issued by the NHS England and NHS Improvement National Patient Safety Team, British Thoracic Society (BTS) and Association of Respiratory Nurse Specialists (ARNS), on the risk of deterioration due to rapid offload of pleural effusion fluid from chest drains.

Pleural effusions are the accumulation of fluid between the lung and chest wall, which may cause breathlessness, low oxygen saturation and can lead to collapsed lung(s). Large effusions, such as those caused by pleural malignancy, may require insertion of a chest drain and controlled drainage of fluid to allow the lung to inflate.

If large volumes of pleural fluid are drained too quickly, patients can rapidly deteriorate. Their blood pressure drops, and they can become increasingly breathless from the potentially life-threatening complication of re-expansion pulmonary oedema. The rate at which fluid is drained must be controlled in order to prevent cardiovascular instability and collapse.

The alert asks providers to review local chest drain clinical procedures to ensure they follow BTS and ARNS guidelines and standards; and to ensure clear instruction on frequency of observation, red flag triggers and local escalation procedures for patient deterioration are available to staff at the patient’s bedside.

Failure to take the actions required under any National Patient Safety Alert may lead to CQC taking regulatory action. Click here to access the safety alert.

 

 

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Upcoming Events

Managing Deteriorating Conditions 2021

National Conference Centre Birmingham
19th April

Infection Prevention & Control Conference 2021

National Conference Centre Birmingham
20th - 21st April

BSG Annual Meeting 2021

SEC Glasgow, Glasgow, G3 8YW
19th - 21st May

EBME Expo 2021

Marshall Arena, Stadium MK, Milton Keynes Stadium Way West Milton Keynes MK1 1ST
30th June - 1st July

Central Sterilising Club 60th Anniversary Annual Scientific Meeting

Crowne Plaza, Bridge Foot, Stratford-upon-Avon, CV37 6YR
4th - 5th April