Seldinger ICC

Technique

• Identify fluid/insertion site
• Prep and drape
• Anaesthetise skin/subcutaneous tissue/pleura with 1% or 2% lignocaine
• Use larger needle to identify depth to pleural cavity, stopping insertion when air/effusion comes back, then remove syringe
• Thread guidewire and remove needle
• Cut skin

• Dilator (limit insertion to the actual distance to pleura)
• Thread drain tube over guidewire and remove guidewire
• Suture the drain in place, with usual dressing
• Attach to UWSD