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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 ...
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. The flutter valve is placed in the appropriate orientation (designed so that the valve can only be connected in the appropriate orientation) and the pneumothorax is thus evacuated from the ...
Chest tubes are also provided in right angle, trocar, flared, and tapered configurations for different drainage needs. As well, some chest tubes are coated with heparin to help prevent thrombus formation, though the effect of this is disputed. [16] Chest tube have an end hole (proximal, toward the patient) and a series of side holes.
A chest tube (or intercostal drain) is the most definitive initial treatment of a pneumothorax. These are typically inserted in an area under the axilla (armpit) called the " safe triangle ", where damage to internal organs can be avoided; this is delineated by a horizontal line at the level of the nipple and two muscles of the chest wall ...
Sketch depicting a chest drainage in course. Chest drains are surgical drains placed within the pleural space to facilitate removal of unwanted substances (air, blood, fluid, etc.) in order to preserve respiratory functions and hemodynamic stability.
For experienced clinicians, the incidence of pneumothorax is about 1.5–3.1%. The National Institute for Health and Care Excellence (UK) and other medical organizations recommend the routine use of ultrasonography to minimize complications. [5] If a pneumothorax is suspected, an upright chest x-ray should be obtained. An upright chest x-ray is ...
Thoracentesis / ˌ θ ɔː r ə s ɪ n ˈ t iː s ɪ s /, also known as thoracocentesis (from Greek θώραξ (thōrax, GEN thōrakos) 'chest, thorax' and κέντησις (kentēsis) 'pricking, puncture'), pleural tap, needle thoracostomy, or needle decompression (often used term), is an invasive medical procedure to remove fluid or air from the pleural space for diagnostic or therapeutic ...
Pulmonary hygiene, also referred to as pulmonary toilet, [1] is a set of methods used to clear mucus and secretions from the airways.The word pulmonary refers to the lungs.The word toilet, related to the French toilette, refers to body care and hygiene; this root is used in words such as toiletry that also relate to cleansing.