THORACOSTOMY Flashcards
1
Q
THORACOSTOMY: CHEST TUBE
A
Finger and Tube Thoracostomy
Tube thoracostomy tray, antiseptic, sterile drape, underwater seal, tubing
28-32 F Chest Tube for Hemothorax
2
Q
PIGTAIL
A
OR
14 F Pig Tail Catheter for pneumothorax
Ipsilateral arm extended overhead and flexed at elbow
Prep and Drape lateral chest wall, include nipple in the intraoperative field
Identify 4th or 5th intercostal space anterior midaxillary line
Inject site with local anesthetic
Incision just above the rib
Puncture pleura with Kelly clamp
Advance tube, look for fogging
Wrap with xeroform
Precut gauze
