The supervising staff specialist watched a registrar insert the catheter.The specialist stated that the wire and initial dilator went in smoothly but it wasn't until they used 2nd dilator that they found could not advance properly.When they removed it, they found the dilator tip to be curved and the wire was noted to be kinked.They tried a new kit in a new area of the chest and the same thing occurred.The pt also developed a pneumothorax as revealed on chest x-ray so they had to abandon this technique and insert a formal chest drain via blunt dissection.The specialist that he suspects it could be user error but that her also felt the wire to be a bit flimsy; even though he knows it needs to be, to ensure it doesn't cause any damage inside the pt.The specialist said he will try the product the next few times and see how it goes.The cook sales specialist went through the importance of inserting the dilators in the same angle as what the needle was inserted to prevent wire from kinking (as it states in the instructions for use).
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