Thoracostomy Tubes Flashcards Preview

Surgery Lab Quiz > Thoracostomy Tubes > Flashcards

Flashcards in Thoracostomy Tubes Deck (11):
1

What is a thoracostomy tube used for?

Treatment of pleural space disease and for continued post-op drainage
-pneumothorax, pyothorax, hemothorax

2

What size tubes should be used for suppurative effusion vs. air?

Effusion should have larger tube
Air should have smaller tube

3

What should the width of tube be similar in size to?

Less than or equal to the width of the intercostal space

4

What is the start and end point for a thoracostomy tube?

Start: dorsal 1/3rd of thoracic wall at 7-9 intercostal space
End point: elbow

5

Where is the skin incision made for a thoracostomy tube insertion?

2-3 rib spaces caudal to desired intercostal entry point

6

How is a thoracostomy tube secured?

Purse string and finger trap suture pattern w/ non-absorbable suture

7

What is the alternate technique for thoracostomy tube placement?

assistant displaces skin cranially --> incision AND tube entry occurs at desired intercostal space
- allows direct entry inot correct space w/out tunneling, dissection through fat and muscle and more controlled entry into thoracic cavity

8

What confirms correct placement and advancement?

Rads

9

If redirection is required what should be re-inserted?

Sterile trochar

10

What structures are used to ensure system is closed?

C-clamp
Christmas tree adapter
3-way stopcock
Wire/nylon suture

11

When can the thoracostomy tube be removed when dealing with air vs. fluid?

Air: absence of pneumothorax for 12-24 hrs
Fluid: production of less than 2 mLs/kg/day