Drenaje percutáneo con catéter del neumotórax en pacientes con COVID–19

The transmission of SARS-CoV-2 mainly occurs by drops and close contact with infected people, but aerosols also seem to be a source of infection. Spontaneous or secondary pneumothorax can occur in patients with COVID-19, helped by underlying pathologies such as chronic obstructive pulmonary disease. It is necessary to guarantee safe procedures for patients and to seek all possible measures for the protection of health personnel, so drainage of pneumothorax with a pleural catheter instead of a thoracostomy tube may be one of those. The objective of this study is to present surgeons with an alternative to traditional thoracostomy, using smaller diameter catheters, to resolve pleural occupancy. Technical aspects: The protocol for the safe insertion of a pleural catheter for pneumothorax drainage is presented, using a completely closed system, and recommendations are given on the use of viral filters and viricidal solution in the pleural drainage system connected to the catheter. Conclusions: The state of the COVID-19 pandemic and the risk that exposure to sources of transmission sources during aerosol-generating procedures represents for health professionals means that extreme measures must be taken to avoid contagion.