As A Pleural Drainage Is Performed

In a chest tube, a tube is inserted into the pleural cavity to drain air or liquid from the chest cavity. Indications pneumothorax, which is recurrent, chronic, traumatic, large and bilaterally or under tension pneumothorax is in a patient with positive pressure ventilation Symptomatic or recurrent pleural empyema large hemothorax Chylothorax Contraindications There are no absolute contraindications to the chest tube. Relative contraindications: coagulopathy or circulatory disorder (may blood products or coagulation factors require) complications misalignments of the tube in the lung parenchyma, in the lobar fissure under the membrane or subcutaneously Blockage of the tube by blood clots, dirt or wrinkles slipping of the tube makes a positional correction required pulmonary edema by reexpansion subcutaneous emphysema infection of residual or recurrent pleural effusion Pulmonary or diaphragmatic laceration intercostal injury of neurovascular bundle under a rib rare bleeding perforation of other structures in the thorax or abdomen Equipment sterile gowns, masks, gloves and draperies petroleum-based and regular gauze dressings and tape cleaning solution such as 2% chlorhexidine solution 25- and 21-gauge needles 10 ml and 20 ml syringes local anesthetic such as 1% lidocaine 2 Hemostat- or Kelly clamps non-absorbable, strong silk or nylon thread (eg. B. 0 or 1-0) scalpel (blade size 11) Thoracic Catheters: The sizes vary from 16-36 French (Fr) and depend on the intended purpose from pneumothorax (20-24 Fr); in malignant pleural effusion 20 to 24 Fr; 28-36 Fri at bronchopleural fistula, complicated parapneumonic effusions, empyema and bronchopleural fistula; 32-36 Fri at hemothorax) suction drainage device of the water seal and connecting hose Other considerations Elective pleural drainage is best carried out by a doctor who is trained in this procedure. Other doctors may weaken a tension pneumothorax with Nadelthorakostomie. Attaching a chest drain is a stationary process. When performed in the emergency room, the patient is then hospitalized. In a spontaneously breathing patient positioning the head of the bed 30 to 60 ° is raised in order to limit the height of the membrane, which occurs during exhalation and thus reduce the risk of inadvertent intra-abdominal tube placement. The arm of the affected side can be brought or to a position above the patient’s head out in other ways. The hand can be placed behind the head. Anatomy of the ribs var model = {thumbnailUrl ‘/-/media/manual/professional/images/rib-anatomy-labels-video-2_de.jpg?la=de&thn=0&mw=350’, imageUrl: ‘/ – / media / ? manual / professional / images / rib-anatomy-labels-video-2_de.jpg lang = en & thn = 0 ‘, title:’ Anatomy of the ribs ‘, description:’ u003Ca id = “v38395359 ” class = “”anchor “” u003e u003c / a u003e u003cdiv class = “” para “” u003e u003cp u003eDas neurovascular bundle at the bottom of the rib comprises the intercostal vein

Health Life Media Team

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