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Portable electronic system Chest tube drainage system diagram, with parts labeled in. A chest drainage system is typically used to collect chest drainage (air, blood, effusions). Most commonly, drainage systems use three chambers which are based on the three-bottle system.
The simplest system that is sufficient for chest drainage is a one-chamber system. It uses either a Heber-drain or an active suction source and comprises a single collection canister. For active or passive air evacuation, a water seal component is attached. To ensure that all air is sucked out when using a Heber-drain, manual support might be ...
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.
For instance, a two-way catheter of 20 Fr and a three-way catheter of 20 Fr have the same outer diameter, but the three-way catheter has an additional channel for irrigation, reducing the size of its drainage channel. The French gauge system was devised by Joseph-Frédéric-Benoît Charrière, a 19th-century Parisian surgical instrument maker. [3]
A chylothorax is an abnormal accumulation of chyle, a type of lipid-rich lymph, in the pleural space surrounding the lung.The lymphatic vessels of the digestive system normally return lipids absorbed from the small bowel via the thoracic duct, which ascends behind the esophagus to drain into the left brachiocephalic vein.
A thoracostomy is a small incision of the chest wall, [1] with maintenance of the opening for drainage. [2] It is most commonly used for the treatment of a pneumothorax.This is performed by physicians, paramedics, and nurses usually via needle thoracostomy or an incision into the chest wall with the insertion of a thoracostomy tube (chest tube) or with a hemostat and the provider's finger ...
To counteract these disruptions, a chest tube which is attached to a drainage system consisting of a collection chamber, one-way water valve and suction chamber is inserted into the patient. This enables air and fluid to be unidirectionally extracted from the pleural cavity. [ 36 ]
Suction is applied through the drain to generate a vacuum and draw fluids into a bottle. Shirley drain; Pigtail drain – has an exterior screw to release the internal "pigtail" before it can be removed; Davol; Chest tube – is a flexible plastic tube that is inserted through the chest wall and into the pleural space or mediastinum; Wound manager