chest drain Flashcards
angle of pt when putting in chest drain
45°
Insert drain via what technique?
Seldinger technique
local or general anaesthetic?
Local
what anaesthetic is given?
how is it given?
lidocaine
inject at site
where do you put in chest drain?
5th intercostal space mid-axillary line
how do you confirm drain is in right place?
aspiration of fluid
anatomically where is the actual drain going into,
i.e. where is it draining from?
pleural space
to drain blood what bore size is used:
large or small?
large
to drain air/liquid (that is not blood) what bore size is used:
large or small?
small
for pneumothorax and pleural effusion what bore size is used:
large or small?
small
for trauma and haemothorax what bore size is used:
large or small?
large
where is the safe triangle anatomically?
5th intercostal space mid-axillary line
complications of a chest drain?
-4
Bleeding
infection
penetrate lung
re expansion pulmonary oedema
Relative contraindications of a chest drain?
-4
o INR >1.3
o Platelet count <75
o Pulmonary bullae
o Pleural adhesions
a low INR means what for clotting?
- is clotting better or worse
better at clotting
