Indwelling Pleural Catheter & IPC Drainage in Delhi

Indwelling Pleural Catheter (IPC)

An Indwelling Pleural Catheter is a soft, and flexible tube which is placed into the chest to help to drain the fluid from around the lungs at home, without needing repeated hospital visits. It is placed under the skin and into the pleural space and allows the patients to drain the fluid regularly using special vacuum bottles. This helps to improve the breathing and comfort, especially in the patients with malignant pleural effusion (fluid due to cancer) or recurrent effusions.

Why is IPC Used?

To reduce breathlessness caused by the fluid buildup.
To avoid repeated needle procedures or hospital stays.
To give comfort-focused care in advanced cancer or chronic illness.
Sometimes, over time, it helps the pleural space dry up naturally (autopleurodesis).

How is the IPC procedure done?

Preparation: A chest ultrasound or CT scan helps locate the safest area to insert the catheter. Blood tests are done to make sure if it’s safe to proceed.
Giving Local Anesthesia: The skin is cleaned, and local anesthesia is given to numb that area. The procedure is usually done while the patient is awake and lying on their side.
Inserting the Catheter: A small cut is made on the chest wall. Using ultrasound guidance, the catheter is gently inserted into the pleural space. It is then tunneled under the skin and secured in a place to reduce the risk of infection.
Initial Drainage: Once placed, some fluid is drained immediately to improve symptoms. The catheter is connected to a drainage bottle that pulls the fluid out using gentle suction.
Dressing and Recovery: The area is covered with a sterile dressing. The patient is usually discharged the same day or next morning. Instructions are given on how to use the drainage system at home.
Aftercare and Home Management: Patients or caregivers are trained to drain the fluid at home, usually every 1–3 days. A nurse may visit to assist or check the site regularly. The catheter can stay in place for weeks to months, depending on the condition of the patient. Once the fluid stops collecting, the catheter may be removed permanently.

Frequently Asked Questions (FAQs)

1. Is the IPC procedure painful?

Not, as it is performed under local anesthesia, so you may feel pressure but not pain. You can experience a mild soreness but it is treatable.

2. How long can the catheter stay in the chest?

The catheter can stay for weeks or even for months, depending upon how much fluid it collects. If the fluid stops coming, then the doctor may remove it.

3. Can I take a bath or shower with the catheter?

Yes, but you have to keep the area dry and covered. You will be guided by your doctor on how to protect the catheter while bathing.

4. How often will I need to drain the fluid?

Usually every 1 to 3 days, mainly depending on how quickly the fluid builds up.

Indwelling Pleural Catheter (IPC)