Flashcards in Thoracostomy Tubes Deck (11):
What is a thoracostomy tube used for?
Treatment of pleural space disease and for continued post-op drainage
-pneumothorax, pyothorax, hemothorax
What size tubes should be used for suppurative effusion vs. air?
Effusion should have larger tube
Air should have smaller tube
What should the width of tube be similar in size to?
Less than or equal to the width of the intercostal space
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
Where is the skin incision made for a thoracostomy tube insertion?
2-3 rib spaces caudal to desired intercostal entry point
How is a thoracostomy tube secured?
Purse string and finger trap suture pattern w/ non-absorbable suture
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
What confirms correct placement and advancement?
If redirection is required what should be re-inserted?
What structures are used to ensure system is closed?
Christmas tree adapter