Chest Tube
Chest Tube - Related Videos
10:56
Tube Thoracostomy
0 Views •
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...
01:24
Flail Chest-I
0 Views •
2024
Overview of Flail Chest Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects. Pathophysiology The pathophysiology of flail chest is complex, involving fractures of...
01:26
Flail Chest-II
0 Views •
2024
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs. Assessment: 1. Clinical Evaluation: History: • Nurses obtain a detailed history of the traumatic event,...
01:24
Chest Physiotherapy
0 Views •
2025
Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated. Purpose CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
13:42
A Murine Closed-chest Model of Myocardial Ischemia and Reperfusion
0 Views •
Cited by 19 •
2012
Surgical trauma induces an inflammatory response. Cytokines and endogenous ligands are known to modulate myocardial infarct size following ischemia and reperfusion. We present a modified closed-chest model of murine ischemia and reperfusion using hanging weights to minimize effects of thoracotomy.
FAQs
The water-seal chamber permits material and air to move outward from the pleural cavity while limiting air from moving back into it. This one-way function supports continued evacuation of unwanted pleural contents and helps the lung re-expand. The chamber is therefore a key part of the drainage system rather than merely a collection container.
Suction may be added when clinically indicated to augment drainage from the pleural space. Its use depends on the patient’s condition and the treatment goal, rather than being automatic for every tube. Clinicians assess the resulting drainage and the patient’s progress to determine whether the system is supporting lung re-expansion appropriately.
The drained material helps identify the problem the tube is addressing. Air is associated with pneumothorax, blood with hemothorax, and fluid with pleural effusion or postoperative thoracic collections. Removing these different materials reduces interference with lung expansion, while the drainage pattern helps clinicians follow the patient’s response to treatment.
After placement through the chest wall, the tube is connected to its drainage system and secured so it remains appropriately positioned. Clinical management then includes checking drainage, observing the system, and monitoring for complications. These actions maintain effective evacuation and provide information used to judge recovery and eventual tube removal.
Assessment focuses on the amount and nature of drainage, the function of the connected drainage system, and evidence of complications. Clinicians also monitor whether the underlying problem is improving and whether the lung is re-expanding. These observations connect the tube’s mechanical performance with the patient’s clinical progress and treatment decisions.
Chest tubes are used for pneumothorax, hemothorax, pleural effusion, and postoperative thoracic collections. By removing air, blood, fluid, or other material from the pleural space, they address conditions that restrict lung expansion. Proper placement, securement, drainage assessment, and complication monitoring support re-expansion and help guide decisions about removal.