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This chapter will review the principles of intrathoracic pressure, the indications for chest tubes, and the safe management of patients with chest tube drainage systems.
22 Ιαν 2023 · This activity reviews the care of a chest tube and explains the role of the interprofessional team members in managing patients who undergo a thoracostomy tube placement. Objectives: Identify the indications for chest tube placement. Explain the importance of monitoring patients with a chest tube.
14 Ιαν 2023 · Nursing care for patients with a chest tube includes assessment of the chest tube site to prevent dislodgement and infection, management of effective suction and drainage, pain relief, monitoring the respiratory status, and providing overall supportive care.
Blind insertion of a chest tube is dangerous in a patient with pleural adhesions from infection, previous pleurodesis, or prior pulmonary surgery; guidance by ultrasound or CT scan without contrast is preferred
blood and prevent cardiac tamponade. In addition, for proper chest tube care, chest tubes can be used to instill fluids into the pleural space, such as chemotherapy drugs or sclerosing agents to treat recurrent pleural effus. ons (a procedure called pleurodesis). Also, blood collected from chest .
For an apical pneumothorax, a chest tube can be placed in the second intercostal space in the midclavicular line, although less comfortable for the patient, and adequate drainage of an unloculated pneumothorax can be performed via lateral insertion at the fifth intercostal space. 14,18 If the tube is placed in the triangle of safety, it is ...
PURPOSE 1.1 To safely care for clients with chest tubes. 1.2 To maintain patency of chest tubes. 1.3 To minimize the risk of infection, damage, displacement and other complications associated with the care and use of chest tubes. Page 1 of 18 Policy & Procedure: Chest Tubes: Assisting With Insertion, Care Of, Assisting With Removal ID #1113 2.
