What are the different types of chest tubes?

Generally, chest tubes divide into two size varieties: large-bore and small-bore. A large-bore chest tube is 20 Fr or larger, while a small-bore chest tube is smaller than 20 Fr. Smaller tubes are also available and are known as pleural catheters.

Does a chest tube remove blood?

A chest tube is a hollow, flexible tube placed into the chest. It acts as a drain. Chest tubes drain blood, fluid, or air from around your lungs, heart, or esophagus. The tube around your lung is placed between your ribs and into the space between the inner lining and the outer lining of your chest cavity.

What chest tube is used for hemothorax?

Small thoracostomy tubes (such as Wayne catheters) are meant to treat pneumothorax over hemothorax or effusion secondary to the risk of clogging. Larger chest tubes, usually 28 French or larger, are needed for drainage of blood or pus in adults.

What are thoracostomy tubes used for?

Thoracostomy inserts a thin plastic tube into the space between the lungs and the chest wall. The doctor may attach the tube to a suction device to remove excess fluid or air. Or, the doctor may use it to deliver medication into the space to decrease the likelihood that fluid will accumulate.

How do you insert a thoracostomy chest tube?

Secure the Tube

  1. Secure the chest tube in place with a large silk suture (number 1 or 0) Go around the chest tube several times. Cinch down to create a small waist on the chest tube. Tie many knots.
  2. A second suture should be used to close the incision, if there is additional space to avoid drainage or introduction of air.

What is the difference between thoracotomy and thoracostomy?

Thoracotomy is surgery that makes an incision to access the chest. It’s often done to remove part or all of a lung in people with lung cancer. Thoracostomy is a procedure that places a tube in the space between your lungs and chest wall (pleural space).

What does thoracostomy mean in medical terms?

: surgical incision of the chest wall.

How do you perform a thoracostomy?

How do you perform a Thoracostomy tube?

Make a 1.5- to 2-cm skin incision, and then bluntly dissect the intercostal soft tissue down to the pleura by advancing a clasped hemostat or Kelly clamp and opening it. Identify the rib below the insertion site and move over the rib to find the pleural space above the rib.

What is a tube thoracostomy (chest drainage)?

In a tube thoracostomy (chest drainage), pleural fluid, air, blood, and pus are removed from the pleural cavity. A tube thoracostomy, also known as open chest drainage, is a surgical procedure to drain the collection of pleural fluid, air, blood, or pus from your pleural cavity through a tube inserted in your chest.

What size thoracostomy tube do I need for a hemothorax?

Drainage of more viscous fluid requires a larger diameter tube (i.e., for hemothorax use 36-French diameter or larger). On the other hand, for iatrogenic pneumothorax, a smaller (i.e., 20-French) or even a “pigtail” or “dart” thoracostomy may be sufficient.

What is the most commonly performed thoracostomy procedure?

Today, tube thoracostomy (TT) placement remains among the most commonly performed procedures, from bedside to operating room, from life-threatening emergencies to postoperative chest drainage in elective surgery.[2]

Is Tubetube thoracostomy safe?

Tube thoracostomy is not without risk. Blunt dissection technique has lower risk of complications and is hence recommended. It is important to keep to the triangle of safety to limit these errors. Most of these complications are preventable and when they occur, they must be adequately and correctly managed.