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A chest tube (also chest drain, thoracic catheter, ... Digital drainage systems allow clinicians to mobilize patients early, even for those on continuous suction ...
Some chest drains may utilize a flutter valve to prevent retrograde flow, but those that do not have physical valves employ a water trap seal design, often aided by continuous suction from a wall suction or a portable vacuum pump.
The flap allows for 1) passive drainage of the pleural space and 2) negative pressure to develop in the thoracic cavity due to it being easier for air to escape than to enter the chest. The lung can then expand to the chest wall and seal the inner opening of the flap. [3] Other surgeons have subsequently proposed modifications to the procedure. [6]
The portion of the tube closest to the exit point of the drain from the body should be gripped first, and once the length of the drain is stripped, the end closest to the surgical site should then be released. This increases the level of suction and helps to move clots through the drainage tube into the bulb. [1]
The construction of the flutter valve enables it to function as a one-way valve allowing airflow, or the flow of a fluid, in only one direction along the drainage tube. The end of the drainage tube is placed inside the chest cavity of the patient — into the air mass or into the fluid mass to be drained from the thorax.
Chest tubes are usually removed one week after surgery along with any stitches or staples in the incisions. Patients experiencing shortness of breath will be guided through deep breathing or coughing exercises by a physician or respiratory therapist. In severe cases, the patient will also receive oxygen supplementation through a mask or nostril ...
The LUCAS can be used both in and out of the hospital setting. [6] [7] The 2015 European Resuscitation Council Guidelines for Resuscitation does not recommend using mechanical chest compression on a routine basis, but are good alternative for situations where it may be difficult or to maintain continuous high-quality compressions, or when it may be too strenuous on the medic to do so. [8]
The bag valve mask concept was developed in 1956 by the German engineer Holger Hesse and his partner, Danish anaesthetist Henning Ruben, following their initial work on a suction pump. [3] Hesse's company was later renamed Ambu A/S, which has manufactured and marketed the device since 1956. An Ambu bag is a self-inflating bag resuscitator from ...