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    Chest Drainage

    Uploaded by

    Ralph Elvin Macanlalay
    The document discusses chest drainage tubes, including their uses, insertion methods, equipment, and complications. Chest drainage tubes are flexible tubes inserted into the pleural space to drain excess air, blood, or pus in conditions like pneumothorax, hemothorax, or trauma. Tubes are placed in the intercostal space and can be one-way, two-way, or three-way systems to drain fluid and maintain negative pressure. Risks include tube malposition, blockage, dislodgement, bleeding, infection, and organ damage.

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    Chest Drainage

    Uploaded by

    Ralph Elvin Macanlalay
    9 views4 pages
    The document discusses chest drainage tubes, including their uses, insertion methods, equipment, and complications. Chest drainage tubes are flexible tubes inserted into the pleural space to drain excess air, blood, or pus in conditions like pneumothorax, hemothorax, or trauma. Tubes are placed in the intercostal space and can be one-way, two-way, or three-way systems to drain fluid and maintain negative pressure. Risks include tube malposition, blockage, dislodgement, bleeding, infection, and organ damage.

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    The document discusses chest drainage tubes, including their uses, insertion methods, equipment, and complications. Chest drainage tubes are flexible tubes inserted into the pleural space to drain excess air, blood, or pus in conditions like pneumothorax, hemothorax, or trauma. Tubes are placed in the intercostal space and can be one-way, two-way, or three-way systems to drain fluid and maintain negative pressure. Risks include tube malposition, blockage, dislodgement, bleeding, infection, and organ damage.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    9 views4 pages

    Chest Drainage

    Uploaded by

    Ralph Elvin Macanlalay
    The document discusses chest drainage tubes, including their uses, insertion methods, equipment, and complications. Chest drainage tubes are flexible tubes inserted into the pleural space to drain excess air, blood, or pus in conditions like pneumothorax, hemothorax, or trauma. Tubes are placed in the intercostal space and can be one-way, two-way, or three-way systems to drain fluid and maintain negative pressure. Risks include tube malposition, blockage, dislodgement, bleeding, infection, and organ damage.

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    Chest Drainage Condition

    Flexible tube inserted into pleural space Pleural effusion

    TO remove excess air, blood & Pus Pneumothorax

    Found in ICS Hemothorax

    When Pleural cavity is distended Traumatic Pneumothorax

    Negative Pressure is disrupted when air is in Heart/Chest Surgery


    pleural space, preventing lungs from collapsing

    Airtight System
    Indication

    Chylotorax
    nd
    Air Drain = Above 2 ICS MCL
    Build up of lymph fluid
    th th
    Fluid Drain = 4 -5 ICS MAL in the lungs

    Hemothorax

    Indication Collection of blood in


    the pleural space
    Drain of Pericardial Sack after Open
    Heart Surgery Pneumothorax

    Can be placed on the sternum Collapsed Lungs

    Collection of Air in the


    lungs
    One Bottle System
    Tension Pneumothorax
    Collect Drainage/Seal Air leak
    Infection
    When Pressure is negative, Water
    becomes straw May cause fluid Build-
    up

    Lung Cancer
    Two Bottle System
    Some cancer can cause
    1st Bottle - Liquid Drainage fluid build up
    2nd Bottle – Water Seal Comfort

    Surgery
    Three Bottle System ***TO Remove Fluid, Pus &
    3rd Bottle – Suction Blood

    Oversuction may lead to leak,


    discomfort, prolonged hospitalization
    Methods of Insertion

    Equipment

    Complications

    Technical

    Tube Malpositioning

    Blocked Drain

    Chest Tube Dislodgement

    Physical

    Nerve Damage

    Cardiac dysrhythmia

    Pneumothorax

    Necrosis

    Fasciitis

    Cellulitis
    CTT

    Chest Tube Thoracostomy

    Pneumonia

    Cancer

    Pleural Effusion

    4th-5th ICS

    2nd ICS = Hemothorax

    Bleeding around Lungs = Hemothorax

    Pneumothorax = Fluid Lungs

    Pleural Effusion =Extra fluid around lungs

    Infection/Comfort = Large build up of fluid

    Chest Surgery

    Risk for CT insertion

    Pain

    Local Numbing Meds

    Bleeding

    Infection
    1 way Bottle Suture

    UnderWater Seal Bottle Dressing

    Anesthesia

    2 Way Bottle

    Trap bottle When to remove

    Under water seal bottle Blocked

    No more to drain

    3 way

    Trap Water

    Underwater Seal

    Manometer Bottle

    Sweep=Rise and Fall of Water in Tube

    No. of Drainage = 24 hrs after surgery = 200-300mL

    100mL/hr = Dangerous (Must Report)

    2-3cm incision

    1.0/2.0 Silk (non-absorbent suture)

    Contraidication

    Bleeding/Anti-coagulation

    Stable Pneumothorax

    Complicaitons

    Bleeding

    Infection

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