Drainage Tube Placement
Drainage Tube Placement - Related Videos
10:56
Tube Thoracostomy
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2023
Source: Rachel Liu, BAO, MBBCh, Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA Tube thoracostomy (chest tube placement) is a procedure during which a hollow tube is inserted into the thoracic cavity for drainage of fluid or air. Emergency chest tube insertion is performed for definitive treatment of tension pneumothorax, traumatic hemothorax, large-volume pleural effusions, and empyemas. Irrespective of the cause of air and fluid accumulation in the pleural space, the...
06:57
Arterial Line Placement
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2023
Source: Sharon Bord, MD, Department of Emergency Medicine, The Johns Hopkins University School of Medicine, Maryland, USA When monitoring patients, it is important to obtain values that are accurate and reliable. Blood pressure monitoring is one of the essential vital signs, and for a majority of patients, measuring it utilizing non-invasive techniques provides accurate values. However, there are situations in which the blood pressure requires more exact, specific, and reliable measurements.
09:51
Intraosseous Needle Placement
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2023
Source: Julianna Jung, MD, FACEP, Associate Professor of Emergency Medicine, The Johns Hopkins University School of Medicine, Maryland, USA For unstable patients requiring urgent administration of medications, fluids, or blood products, establishing vascular access quickly is essential. However, there are many factors that can complicate placement of a peripheral intravenous cannula (PIV), and it is extremely common for PIV attempts to fail. PIV placement may be technically challenging in small...
03:02
Intrathecal Placement of Lumbar Drain: A Technique to Withdraw Cerebrospinal Fluid from the Lumbar Spine in Porcine Model
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2025
This video describes the technique of intrathecal placement of a lumbar drain in a porcine ischemic model, which helps in draining the cerebrospinal fluid to a drainage system. The cerebrospinal fluid pressure is monitored by the drainage system, and fluid is drained to maintain a constant cerebrospinal fluid pressure.
06:17
Manual Drainage of the Zebrafish Embryonic Brain Ventricles
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Cited by 9 •
2012
We present a method to collect cerebrospinal fluid (CSF) and to create a system which lacks CSF within the embryonic zebrafish brain ventricular system. This allows for further examination of CSF composition and its requirement during embryonic brain development.
FAQs
Gravity allows contents to move through the catheter into an external drainage system when the collection and outlet are positioned appropriately. Suction provides an additional force when passive flow is insufficient. These mechanisms create controlled evacuation, helping remove fluid, gas, or secretions while supporting pressure relief and restoration of normal function.
Clinicians select the route using physical examination, imaging, or endoscopic guidance. These assessments help identify the location of the collection or obstruction and establish a pathway that can reach it safely. Guidance also supports accurate catheter positioning, which is important for effective evacuation and for monitoring the response after placement.
A secured catheter maintains the intended connection between the internal collection and the external drainage system. This supports continuous evacuation and helps clinicians interpret ongoing output from a stable position. Maintaining that pathway is especially relevant when drainage continues over time for infection control, pressure relief, or recovery from a postoperative collection.
The general workflow includes identifying the target, selecting an access route, inserting the flexible catheter, and connecting it to an external drainage system. Physical examination, imaging, or endoscopic guidance may assist with positioning. The catheter is then secured, and clinicians monitor the output to assess safety and effectiveness during continued care.
Applications include abscesses, pleural effusions, biliary or urinary obstruction, and postoperative collections. In each setting, the clinical purpose is to evacuate an unwanted accumulation or bypass impaired flow. Removing the contents can relieve pressure, support infection control, or help restore function while clinicians follow the patient's ongoing response.
Monitoring output helps clinicians evaluate whether the catheter is functioning and whether evacuation is occurring as intended. It also provides information for ongoing care after placement, particularly when treating collections or obstructions. The observed drainage contributes to decisions about safety and effectiveness while the underlying condition, such as an abscess or effusion, is managed.