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A chest tube (also chest drain, thoracic catheter, tube thoracostomy or intercostal drain) is a surgical drain that is inserted through the chest wall and into the pleural space or the mediastinum. The insertion of the tube is sometimes a lifesaving procedure.
The active maintenance of an intrapleural negative pressure via chest drains builds the basis of chest drain management, as an intrapleural pressure lower than the surrounding atmosphere allows easier lung expansion and thus better alveolar ventilation and gas exchange.
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
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]
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 ...
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 ...
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.
The doctor injects a local anesthetic into the area of the chest wall outside where the fluid is. A plastic tube is then inserted into the chest between two ribs. The tube is connected to a box that suctions the fluid out. A chest x-ray is taken to check the tube's position. A chest tube is also used to drain blood and air from the pleural space.