Pneumothorax
Air in pleural space
S/S pneumothorax
increases respiration excursion, bulging intercostal, hyperresonce, hypoxemia, hypercapnia
Medical management - pneumo
chest tube inserted at 4th/5th midaxillary line
chest tubes
reinflate collapsed lung, drain fluid
pneumothorax chest tube placement
2nd / 3rd intercostal, anterior chest 12-26fr
Hemothorax. Chlyothorax, Emphysema chest tube placement
4th/5th intercostal. 28-40fr (air rises fluid falls)
chest tube closed system
keeps air from entering during inhalation
allows air to escape on exhalation
crepitus
rice krispy under skin, subcutaneous emphysema
complication of chest tube
air leak, accidental disconnection, tension pneumothorax