Indications for Draining the Chest
Figure 3.1 Aeropleura With these indications in mind, the treatment goal is to restore and control the subatmospheric pressure in the pleural space after evacuating air from the pleural space….
Different Kinds of Drains (−Catheters)
Figure 4.1 Chest tubes – straight and curved (Pacific Hospital Supply Co. Ltd, Fort Bend, Texas, USA) Figure 4.2 Curved chest tube with side holes (Free Life Medical GmbH, Aachen,…
Anatomy of the Chest Wall and the Pleura
Figure 1.1 Anatomical lines of the anterior chest wall (Tilmann BN (2010), Ventrale Rumpfwand. In: Anatomie, Springer-Verlag Berlin Heidelberg, S. 816, Abb. 21.1) Certain ribs and intercostal spaces can be…
Inserting a Chest Drain: How to Do
Figure 6.1 Safe triangle A more posteriorly located chest tube may be uncomfortable as the patient may lay on it, causing pain and kinking of the tube with subsequent clogging….
Complications of Chest Drain Insertion and Management
Incorrect placement of a chest drain 1 Even when chest drain placement has been performed according to intrathoracic findings, “special” topographic localization is rarely required. One should assess the potential…
Care of Patients Having a Chest Drain
Description of the fluid Explanation and possible causes Serous, slightly yellow Normal pleural fluid Purulent, murky Sanguineous Hemothorax: injury of a blood vessel (i.e. intercostal vessel) White or milky…
Different Drainage Systems and Philosophies
Figure 5.1 Water seal (From: G. Heberer, F.W. Schildberg, L. Sunder-Plassmann, I. Vogt-Maykopf Die Praxis der Chirurgie – Lunge und Mediastinum. Second edition. ISBN 3-540-19114-3, Page 191 ff) Using a…
Physiology and Pathophysiology of the Pleura
Figure 2.1 Normal, transparent Pleura: Left subclavian artery and phrenic nerve are visible Figure 2.2 Layer with arterial and venous capillaries 2.2.2 Vessels The pleural vessels run in the soft…
Management of the Pleural Space: Handling of Chest Tubes and Drainage Systems
Description of leak Objectively measured data Therapeutic consequence Not tolerable ≥3000 ml/min Immediately postop “Normal”lung: sudden reexploration Emphysematous lung: wait for 1–2 days then revision if no trend towards healing…
Physiotherapy in Patients with Chest Drains
Figure 11.1 ADL-training with the help of a walking frame 11.2 Pain The physiotherapist can aid in reduction and/or elimination of pain by contributing the following strategies: 1. Classic massage…
