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The pleural space is the space between the inner and outer lining of the lung. It is normally very thin, and lined only with a very small amount of fluid.
IndicationIf fluid, such as blood, or air, gets into the pleural space, the lung can collapse, preventing adequate air exchange. Chest tubes are used to treat conditions that can cause the lung to collapse, such as:
- air leaks from the lung into the chest (pneumothorax)
- bleeding into the chest (hemothorax)
- after surgery or trauma in the chest (pneumothorax or hemothorax)
- lung abscesses or pus in the chest (empyema).
Chest tubes are inserted to drain blood, fluid, or air and allow full expansion of the lungs. The tube is placed in the pleural space. The area where the tube will be inserted is numbed (local anesthesia). The patient may also be sedated. The chest tube is inserted between the ribs into the chest and is connected to a bottle or canister that contains sterile water. Suction is attached to the system to encourage drainage. A stitch (suture) and adhesive tape is used to keep the tube in place.
The chest tube usually remains in place until the X-rays show that all the blood, fluid, or air has drained from the chest and the lung has fully re-expanded. When the chest tube is no longer needed, it can be easily removed, usually without the need for medications to sedate or numb the patient. Medications may be used to prevent or treat infection (antibiotics).
AftercareRecovery from the chest tube insertion and removal is usually complete, with only a small scar.
The patient will stay in the hospital until the chest tube is removed. While the chest tube is in place, the nursing staff will carefully check for possible air leaks, breathing difficulties, and need for additional oxygen. Frequent deep breathing and coughing is necessary to help re-expand the lung, assist with drainage, and prevent normal fluids from collecting in the lungs.
Reviewed ByReview Date: 03/03/2012
Shabir Bhimji, MD, PhD, Specializing in General Surgery, Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M. Health Solutions, Ebix, Inc.
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The insertion of how many nucleotides into a genetic sequence does less damage to the code than the insertion of other numbers of nucleotides?
3 cause 3 nts corresponding to an amino acid so it wont effect all the following code after insertion
Word inserts text to the right of the insertion point?
yes it is to the right
What is another name for a test tube?
another name for test tube is culture tube or sample tube
What is the full form of tube light?
tube light
What tube would you draw for pku?
red tube
After chest tube insertion what do you do next?
stat chest x-ray
When do we need Chest Tube Insertion besides for pleural effusion?
a chest tube is used for the treatment of pnuemothorax or hemopnuemothorax..
What to do if the chest tube is accidentally dislodged?
Immediately apply sterile gauze over the chest tube insertion site and notify doctor.
Would you administer pain medication before chest tube insertion?
no
What is the medical term meaning chest tube insertion?
thoracostomy or CTI
What is the Position of a person immediately following chest tube insertion?
Fowler's position
What is the difference between a standard chest tube and a chest tube with a trocar?
a standard chest tube is a hollow tube that inserts into the chest's pleural cavity. a trocar is a metal rod that's inside the chest tube, some doctors prefor the trocar for easier insertion through the intercostal muscles.
What are the responsibilities of scrub nurse during chest tube insertion?
maintain sterile technique.
If a surgeon performs a thoracotomy procedure and at the end of the procedure inserts a chest tube for drainage do you report the insertion on the tube separately?
No
What complications can occur after chest drainage therapy?
Problems can arise in the insertion of the tube if the membrane lining the chest cavity is thick or if it has many adhesions. The tube will not drain correctly if the chest cavity contains blood clots or thick secretions.
What is the cpt code for chest tube insertion for pneumothorax?
3242232422 is listed under REMOVAL, not insertion. Insertion code (current) is 32551You need to do your own homework and look up the code in the CPT book.32422
What should nurse do if chest tube is accidentally removed?
If chest tube dislodges, apply pressure over the insertion site with a dressing that is tented on one side to allow for escape of air. If tube gets disconnected, cut the contaminated tip and reinsert a sterile connector and reattach to system or place tip in sterile water. To remove: pt does valsalva maneuver, chest tube is clamped and quickly removed by MD, occlusive dressing applied.
