What is a tube Thoracostomy used for?

Thoracostomy is a minimally invasive procedure in which a thin plastic tube is inserted into the pleural space — the area between the chest wall and lungs — and may be attached to a suction device to remove excess fluid or air. A chest tube may also be used to deliver medications into the pleural space.

What is thoracostomy procedure?

Tube thoracostomy is a common procedure in which a thoracostomy tube or catheter is placed through the chest wall into the pleural cavity to either drain an indication (eg, pneumothorax, hemothorax, effusion, empyema) or instill medication (eg, talc, doxycycline, fibrinolytic agent).

What are the indications for Thoracostomy tube?

Indications. Tube thoracostomy is indicated for pneumothorax, hemothorax, pleural effusion, empyema, and chylothorax. Timing, position, and relative indications will vary with each patient and must be individualized.

What is a chest tube pneumothorax?

Pneumothorax: A chest tube is often inserted to release air from a collapsed lung, but may also puncture a lung resulting in a pneumothorax. 4 A lung which has been collapsed may also collapse again when the tube is removed.

How do you know a chest tube is working properly?

The water in the water-seal chamber should rise with inhalation and fall with exhalation (this is called tidaling), which demonstrates that the chest tube is patent. Continuous bubbling may indicate an air leak, and newer systems have a measurement system for leaks — the higher the number, the greater the air leak.

When is a thoracostomy tube used?

A chest tube can help drain air, blood, or fluid from the space surrounding your lungs, called the pleural space. Chest tube insertion is also referred to as chest tube thoracostomy. It’s typically an emergency procedure. It may also be done after surgery on organs or tissues in your chest cavity.

How long does a chest tube procedure take?

The chest drain insertion usually takes between 30 and 45 minutes. Afterwards, you will have a chest X-ray to confirm the location of your chest drain. Your drain will be connected to a bottle. As the fluid or air around your lung drains off, you should be able to breathe more easily.

Do they put you to sleep for a chest tube?

Pain during placement: Chest tube insertion is usually very painful. Your doctor will help manage your pain by injecting an anesthetic through an IV or directly into the chest tube site. You’ll be given either general anesthesia, which puts you to sleep, or local anesthesia, which numbs the area.

What is the difference between a pneumothorax and a tube thoracostomy?

Tube thoracostomy is a bedside procedure that allows drainage of a variety of abnormal collections from the thoracic cavity. A pneumothorax is a collection of air in the pleural space.

How is a thoracostomy tube used to drain fluid?

thoracostomy tube a tube inserted through an opening in the chest wall, for application of suction to the pleural cavity; used to drain fluid or blood or to reexpand the lung in pneumothorax. See also chest tube.

How are chest tubes used to treat hemopneumothorax?

Thoracostomy (chest tube insertion) The main treatment for hemopneumothorax is called chest tube thoracostomy. This procedure involves placing a hollow plastic tube between the ribs into the area around the lungs in order to drain the air and blood. The tube may be connected to a machine to help with the drainage.

How is the chest tube introduced into the thoracic cavity?

Grasp the proximal (fenestrated) end of the chest tube with the large Kelly clamp and introduce it through the tract and into the thoracic cavity as shown. The proximal end of the chest tube is held with a Kelly clamp that is used to guide the chest tube through the tract.