Insertion of a chest drain for pneumothorax

详细信息    查看全文

• 作者：Bilal Kirmani ; Joseph Zacharias
• 关键词：Chest drain ; pneumothorax
• 刊名：Anaesthesia & Intensive Care Medicine
• 出版年：2016
• 出版时间：April 2016
• 年：2016
• 卷：17
• 期：4
• 页码：196-198
• 全文大小：355 K

文摘

Large or symptomatic pneumothoraces, or those that occur in mechanically ventilated patients, are easily managed with intercostal chest tube drainage. Seldinger technique or wide-bore chest drains can be used. This article examines the indications for chest drain insertion for pneumothorax and the choice of drain. The equipment required is outlined and the positioning and preparation for the procedure described, including the choice of pre-medication. Techniques for insertion of both Seldinger-style and wide-bore chest drain are also described, including safe administration of local anaesthesia for intercostal block. The procedures outlined include how to place securing sutures and the preferred alternative to the old ‘purse-string’ technique for later closure of a tract following wide-bore chest drain. Troubleshooting for potential complications is also briefly covered.