Info
🌱 來自: Huppert’s Notes
Chest Tubes🚧 施工中
Chest Tubes
• Description: Flexible plastic tube placed into the pleural space (or mediastinum) through the chest wall for drainage of air, fluid, or pus
• Indications:
- Air (tension pneumothorax)
- Fluid (hemothorax, persistent effusion; do NOT put in for hepatohydrothorax)
- Pus (empyema)
• Components: Three-bottle system (Figure 2.14)
FIGURE 2.14: The chest tube: A “three-bottle” system. A chest tube uses a three bottle system for fluid collection, forming a water seal, and controlling suction.
- Collection trap – Tubes on right side
- Water seal (gradient to flow out) – Look for air leak in form of bubbles
- Suction to wall (with suction regulator) – Normal to see bubbles
• Parameters to report on rounds:
- Suction: Is the tube on water seal or suction? If on suction, at what pressure (measured in cm H2O)?
- Volume: How much has the chest tube drained? What is the rate of drainage and is it increasing/decreasing?
- Quality: What color is the fluid that has drained?
- Air leak: Is there an air leak?