CHEST TUBE INSERTION

NORMAL ANATOMY

The pleural space is the space between the inner and outer lining of the lung. It is normally very thin, and lined only with a very small amount of fluid.

INDICATION

If fluid, such as blood, or air, gets into the pleural space, the lung can collapse, preventing adequate air exchange. Chest tubes are used to treat conditions that can cause the lung to collapse, such as:air leaks from the lung into the chest (pneumothorax) bleeding into the chest (hemothorax) after surgery or trauma in the chest (pneumothorax or hemothorax) lung abscesses or pus in the chest (empyema).

PROCEDURE

Chest tubes are to be inserted to drain blood, fluid, or air and allow full expansion of the lungs. The tube is to be placed in the pleural space. The area where the tube will be inserted is numbed. The patient may also be sedated. The chest tube is inserted between the ribs into the chest and is connected to a bottle.Suction is attached to the system to encourage drainage. A stitch (suture) and adhesive tape is used to keep the tube in place. The chest tube usually remains in place until the X-rays show that all the blood, fluid, or air has drained from the chest and the lung has fully re-expanded. When the chest tube is no longer needed, it can be easily removed, usually without the need for medications to numb the patient. Medications may be used to prevent or treat infection by (antibiotics).

AFTERCARE

Recovery from the chest tube insertion and removal is usually complete, with only a small scar.The patient will stay in the hospital until the chest tube is removed. While the chest tube is in place, the nursing staff will carefully check for possible air leaks, breathing difficulties, and need for additional oxygen.