inter costal drainage vaisakh
Post on 07-May-2015
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Vaisakh. GI Year MSc. Nursing,AIMS,kochi.
The external surface of the lungs are covered by a thin, smooth serous membrane called the VISCERAL PLEURA.
A similar membrane lines the thoracic cavity, this contains nerve receptors to detect pain called the PARIETAL PLEURA
A Chest tube or Intercostal drainage
is the insertion of flexible plastic tube
through the chest wall into the pleural
space or mediastinum to drain fluid or
air.
To overcome the accumulation of air or fluid in the pleural cavity that might impair ventilation.
Pleural membranes have a vital role in ensuring the lungs are expanded.
Therefore any disruption to the integrity of these membranes or changes within the pleural space,will compromise ventilation.
Adults - 20 Fr - 40FrChildren - 6Fr – 26Fr
Observation
Pain control
Securing the drain
Refractory coagulopathy Diaphramatic hernia Hepatic hydrothorax Pleural space adhesion
Position and fluid levelSuctionChanging dressing and Bottle
Clamping
Drainage slows or stops
Accidental disconnection
Transporting patient
Changing the drainage device
Removing chest tubes
Chest tube malpositioning
Reexpansion pulmonary edema
Hypotention
Infection
Pneumonia
Shoulder disuse(frozen shoulder)
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