Chest Drainage Condition

Flexible tube inserted into pleural space Pleural effusion

TO remove excess air, blood & Pus Pneumothorax

Found in ICS Hemothorax

When Pleural cavity is distended Traumatic Pneumothorax

Negative Pressure is disrupted when air is in Heart/Chest Surgery

pleural space, preventing lungs from collapsing

Airtight System
Indication

Chylotorax
nd
Air Drain = Above 2 ICS MCL
Build up of lymph fluid
th th
Fluid Drain = 4 -5 ICS MAL in the lungs

Hemothorax

Indication Collection of blood in

the pleural space
Drain of Pericardial Sack after Open
Heart Surgery Pneumothorax

Can be placed on the sternum Collapsed Lungs

Collection of Air in the

lungs
One Bottle System
Tension Pneumothorax
Collect Drainage/Seal Air leak
Infection
When Pressure is negative, Water
becomes straw May cause fluid Build-
up

Lung Cancer
Two Bottle System
Some cancer can cause
1st Bottle - Liquid Drainage fluid build up
2nd Bottle – Water Seal Comfort

Surgery
Three Bottle System ***TO Remove Fluid, Pus &
3rd Bottle – Suction Blood

Oversuction may lead to leak,

discomfort, prolonged hospitalization
Methods of Insertion

Equipment

Complications

Technical

Tube Malpositioning

Blocked Drain

Chest Tube Dislodgement

Physical

Nerve Damage

Cardiac dysrhythmia

Pneumothorax

Necrosis

Fasciitis

Cellulitis
CTT

Chest Tube Thoracostomy

Pneumonia

Cancer

Pleural Effusion

4th-5th ICS

2nd ICS = Hemothorax

Bleeding around Lungs = Hemothorax

Pneumothorax = Fluid Lungs

Pleural Effusion =Extra fluid around lungs

Infection/Comfort = Large build up of fluid

Chest Surgery

Risk for CT insertion

Pain

Local Numbing Meds

Bleeding

Infection
 1 way Bottle Suture

UnderWater Seal Bottle Dressing

Anesthesia

2 Way Bottle

Trap bottle When to remove

Under water seal bottle Blocked

No more to drain

3 way

Trap Water

Underwater Seal

Manometer Bottle

Sweep=Rise and Fall of Water in Tube

No. of Drainage = 24 hrs after surgery = 200-300mL

100mL/hr = Dangerous (Must Report)

2-3cm incision

1.0/2.0 Silk (non-absorbent suture)

Contraidication

Bleeding/Anti-coagulation

Stable Pneumothorax

Complicaitons

Bleeding

Infection