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The lung to be washed is filled with fluid by gravity, then drained. Drainage can be done by suction [2] or gravity. [10] Some versions add a shaking step between the filling and draining to help with the washing. [2] The procedure typically uses 10–20 liters of fluid per patient, but severe cases require up to 50. [2]
The initial treatment of a chylothorax is usually drainage of the fluid from the pleural space. This may be necessary to restore lung function compromised by the pressure exerted by the chyle on the lungs. [1] Those with large chylothoraces may need nutritional support due to the nutrients lost, primarily to correct protein and electrolyte losses.
Bronchoalveolar lavage (BAL), also known as bronchoalveolar washing, is a diagnostic method of the lower respiratory system in which a bronchoscope is passed through the mouth or nose into an appropriate airway in the lungs, with a measured amount of fluid introduced and then collected for examination.
A pleural effusion is accumulation of excessive fluid in the pleural space, the potential space that surrounds each lung.Under normal conditions, pleural fluid is secreted by the parietal pleural capillaries at a rate of 0.6 millilitre per kilogram weight per hour, and is cleared by lymphatic absorption leaving behind only 5–15 millilitres of fluid, which helps to maintain a functional ...
The drainage holes are placed inside the patient and the chest tube is passed out through the incision. Once the tube is in place, it is sutured to the skin to prevent movement. The chest tube is then connected to the drainage canister using additional tubing and connectors and connected to a suction source, typically regulated to -20 cm of water.
Left-sided heart failure results in rapid and/or difficulty breathing and sometimes coughing from a build-up of fluid in the lungs (pulmonary edema). Right-sided heart failure results in a large liver (congestion) and build-up of fluid in the abdomen , uncommonly fluid around the lungs (pleural effusion), or, rarely, peripheral edema. [51]
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The "Heber-Drain" is based on the Heber principle, which uses hydrostatic pressure to transfer fluid from the chest to a collection canister. It produces permanent passive suction. As the Heber drain is a classical gravity drain, the canister must be placed below chest level to be active. The difference in height between the floor and the ...