Tube Thoracostomy (chest drain) Flashcards
1
Q
Indications;
?.
Pleural ?/?.
Post-operative (?, ?, ? surgery).
A
pneumothorax
effusion/empyema
thoracotomy, oesophagectomy, cardiac
2
Q
Technique;
Inject ? to infiltrate skin and ? pleura.
Make ?cm incision near ? border of ? rib (avoiding neurovascular bundle) in the triangle of safety;
o Between ? border of ? ? and lat dorsi, ?to the ?th intercostal space, inferior to the ? border.
A
LA parietal 2 upper lower lateral pec major superior 5 axillary
3
Q
Technique
? dissect to parietal pleura, and then palpate ? with ? finger to free ?.
Insert drain and attach to ? ?, ? in to the chest wall.
Apply ? dressing and sit patient up to ?°.
Check position with ?, and repeat ? daily.
A
blunt lung gloved adhesions underwater seal suturing airtight 45 cxr cxr
4
Q
The drain should ?(change in fluid level of tube) with ?, and ? in a pneumothorax. Repeat ? should be taken after removal.
A
swing
respiration
bubble
cxr
