Two – bottle water – seal drainage system
It involves the addition of a suction source and a suction-controlbottle. These are added if gravity is not sufficient to clear the air or fluidfrom the chest. The suction-control bottle allows the entrance of air whichbubbles through the column of water in the glass rod, reducing the amountof negative pressure from the suction source. This is sometimes called a
When the force of suction exceeds that required todisplace the water inside the glass rod, from the water level down to theend of the glass rod, room air will be drawn into the system to reduce thenegative pressure applied to the chest. Failure of the breaker bottle tobubble means that the desired amount of suction has not been reached.The reasons for this should be investigated. Causes may include a leakwithin the bottle and tube system, an inadequate suction source, and aserious air leak into the pleura from
ruptured bronchus or bronchopleural fistula.
The physician may distinguish among them by briefly clamping the chesttube near the chest to determine whether bubbling will resumed.Resumption of bubbling indicates an intact drainage system. The problemthen is an air leak into the pleura from a physiological source. The tubemust not remain clamp as a tension pneumothorax will develop if the air leak into the pleural space has no egress. Air leaks into the pleural spacemay be localize by careful examination of the chest.
A three-bottle system
It involves the addition of a separate collection bottle so that thedrainage may be separate collection bottle so that drainage may bemeasured and inspected as it comes from the chest.
It is a commercially available product incorporating all the featuresall ready discussed. It is a single light weight unit which indicates the amountof air bubbling through the suction chamber from the atmosphere. It calibratesthe exact amount of negative pressure in the pleural space and has a clientleak air flow meter to indicate the amount of air coming from the individual.
II – Purposes:
Remove excess air, blood, or fluid from the pleural cavity,
Reduce the size of the pleural space, and restore negative intrapleuralpressure to promote lung expansion.
Remove tumors of the lung, bronchus or chest wall
Repair or reverse structures contained in the thorax such as open heartsurgery or repair of a thoracic aneurysm.