This document discusses chest tube drainage systems. It describes the indications for chest tube placement including pneumothorax, hemothorax, and pleural effusions. Contraindications include coagulopathy. Two main types of chest tubes are described: pleural tubes which drain the pleural space, and mediastinal tubes which drain the mediastinum. Tube size depends on the condition, with larger sizes for fluid drainage. Principles of drainage involve gravity, positive pressure, and water seal systems. Four common systems are outlined: single bottle water seal, two bottle water seal, three bottle water seal, and Pleur-Evac water seal.
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This document discusses chest tube drainage systems. It describes the indications for chest tube placement including pneumothorax, hemothorax, and pleural effusions. Contraindications include coagulopathy. Two main types of chest tubes are described: pleural tubes which drain the pleural space, and mediastinal tubes which drain the mediastinum. Tube size depends on the condition, with larger sizes for fluid drainage. Principles of drainage involve gravity, positive pressure, and water seal systems. Four common systems are outlined: single bottle water seal, two bottle water seal, three bottle water seal, and Pleur-Evac water seal.
This document discusses chest tube drainage systems. It describes the indications for chest tube placement including pneumothorax, hemothorax, and pleural effusions. Contraindications include coagulopathy. Two main types of chest tubes are described: pleural tubes which drain the pleural space, and mediastinal tubes which drain the mediastinum. Tube size depends on the condition, with larger sizes for fluid drainage. Principles of drainage involve gravity, positive pressure, and water seal systems. Four common systems are outlined: single bottle water seal, two bottle water seal, three bottle water seal, and Pleur-Evac water seal.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as PPT, PDF, TXT or read online from Scribd
This document discusses chest tube drainage systems. It describes the indications for chest tube placement including pneumothorax, hemothorax, and pleural effusions. Contraindications include coagulopathy. Two main types of chest tubes are described: pleural tubes which drain the pleural space, and mediastinal tubes which drain the mediastinum. Tube size depends on the condition, with larger sizes for fluid drainage. Principles of drainage involve gravity, positive pressure, and water seal systems. Four common systems are outlined: single bottle water seal, two bottle water seal, three bottle water seal, and Pleur-Evac water seal.
Copyright:
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Concepts on
Oxygenation
Chest tubes &
Water seal Drainage Indications for Chest tube drainage To evacuate air or fluid from pleural space Pneumothorax > 20 % Hemothorax > 500cc Pneumohemothorax Pleural Effusion Fluid collections Mechanically ventilated patients with any size pneumothorax or hemothorax Indications for Chest tube Drainage
Respiratory distress or ventilator
dependence that does not permit thoracentesis Monitor ongoing air leak or blood loss Contraindications
Coagulopathy or platelet dysfunction
warrants caution Known or suspected mesothelioma Pure tuberculosis effusion Types & Purposes of Chest tubes 1. Pleural Tubes > the insertion of pleural tube permits removal of the air or bloody fluid & allows for reexpansion of the lung and restoration of the normal negative pressure in the pleural space . Types & Purposes of Chest Tubes cont’d. 2. Mediastinal tubes > are placed to en - sure that fluid does not accumulate & put pressure on the heart but instead drains to facilitate healing Chest Tube Size French sizing refers to circumference in millimeters Pure Pneumothorax : French 20 – 24 Fluid : French 28 tubes are recommended French 32 or larger tubes tend to cause too much discomfort unless a rib resection is performed Principles of Chest Drainage Principles Involved Gravity positive pressure Suction Water – seal principle TYPES OF CHEST TUBE DRAINAGE SYSTEM 1. SINGLE – BOTTLE 2. TWO – BOTTLE WATER SEAL WATER SEAL SYSTEM SYSTEM The end of the consists of the same water – drainage tube from the seal chamber , plus a fluid – patient’s chest is covered by a collection bottle layer of water , which permits Drainage is similar to that of drainage of air & fluid from the a single unit , except that pleural space , but does not when pleural fluid drains , allow air to move back into the the underwater – seal system chest . is not affected by the volume Functionally , drainage of the drainage depends on gravity , on the Effective drainage depends mechanism of resopiration , & if on gravity or on the amount desired , on suction by addition of suction added to the of controlled vacuum system 3. THREE- BOTTLE 4. PLEUR – EVAC WATER WATER SEAL SEAL SYSTEM SYSTEM There’s an addition of a 3rd bottle to control the amount of Is a three- chambered system suction applied that utilizes the same basic The amount of suction is principles as the classic determined by the depth to three-bottle system which the tip of the venting glass tube is submerged in the water Drainage depends on the gravity or the amount of suction applied , which is controlled by the manometer bottle The mechanical suction motor / wall suction creates & maintains a negative pressure throughout the entire closed drainage system