chest drain - fundamentals
DESCRIPTION
Chest Drain - fundamentals. Pleural Aspiration –Tension Pneumothorax. 2 nd intercostal space midclavicular line Use venflon or central line catheter (avoid sharp needle’s) O2 Then arrange for chest drain. - PowerPoint PPT PresentationTRANSCRIPT
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Chest Drain - fundamentals
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Pleural Aspiration –Tension Pneumothorax
• 2nd intercostal space midclavicular line• Use venflon or central line catheter (avoid
sharp needle’s)• O2• Then arrange for chest drain
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“There is no organ in the thoracic or abdominal cavity that has not been
pierced by a chest drain.”
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Safety Precautions
• Consent – Written & informed• Lignocaine test dose• Check & Ensure the side (right or left) of ICD– Clinical Examination– CXR
• O2 must be connected• SpO2 Monitor
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Position-for Pleural aspiration/ Thoracocentesis ONLY
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Position - Triangle of safety
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Chest Drain Insertion Steps
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Chest Drain Insertion Steps…
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Underwater Seal Options
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Post ICD Care
• Adequate pain control• Ambulate & Chest physiotherapy, O2,
Nebulisation……• NEVER Clamp the chest drain – if BPF is persistent –
ICD clamping may create tension pneumothorax• Assess for air leak on asking to take deep breath or
on coughing –confirm NO air leak • Chest x-ray• ICD column not moving ?– Lung is fully expanded– Blocked (less likely in 28/32 drain)
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When to Remove ICD
• NO Air leak (BPF has closed)– Assess for air leak on asking to take deep breath or
on coughing –confirm NO air leak
• Lung Fully Expanded– Clinically– Chest x-ray
• Drainage is less than 100ml/24hrs