Chest Drain - fundamentals
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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 Presentation
Transcript of Chest Drain - fundamentals
Chest Drain - fundamentals
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
“There is no organ in the thoracic or abdominal cavity that has not been
pierced by a chest drain.”
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
Position-for Pleural aspiration/ Thoracocentesis ONLY
Position - Triangle of safety
Chest Drain Insertion Steps
Chest Drain Insertion Steps…
Underwater Seal Options
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)
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
