In one study, 100% had seen chest tube clogging, and a majority had seen adverse patient outcomes from chest tube clogging. Chest tube clogging is widely recognized in published surveys of surgeons and nurses. The most common complication of a chest tube is chest tube clogging. Additional contraindications include scarring in the pleural space (adhesions). Urinothorax: accumulation of urine in the pleural spaceĬontraindications to chest tube placement include refractory coagulopathy and presence of a diaphragmatic hernia, as well as hepatic hydrothorax.Hydrothorax: accumulation of serous fluid in the pleural space.Hemothorax: accumulation of blood in the pleural space.Empyema: a pyogenic infection of the pleural space.Chylothorax: a collection of lymph in the pleural space.Pleural effusion: accumulation of fluid in the pleural space.Pneumothorax: accumulation of air or gas in the pleural space.Medical uses of chest tube are as follows: Left-sided pneumothorax (right side of image) on CT scan of the chest with chest tube in place. The use of chest tubes in postoperative thoracic care was reported in 1922, and they were regularly used post-thoracotomy in World War II, though they were not routinely used for emergency tube thoracostomy following acute trauma until the Korean War. However, the technique was not widely used until the influenza epidemic of 1918 to evacuate post-pneumonic empyema, which was first documented by Dr. The concept of chest drainage was first advocated by Hippocrates when he described the treatment of empyema by means of incision, cautery and insertion of metal tubes. An intrapleural chest tube is also known as a Bülau drain or an intercostal catheter (ICC), and can either be a thin, flexible silicone tube (known as a "pigtail" drain), or a larger, semi-rigid, fenestrated plastic tube, which often involves a flutter valve or underwater seal. A chest tube (also chest drain, thoracic catheter, tube thoracostomy or intercostal drain) is a surgical drain that is inserted through the chest wall and into the pleural space or the mediastinum in order to remove clinically undesired substances such as air ( pneumothorax), excess fluid ( pleural effusion or hydrothorax), blood ( hemothorax), chyle ( chylothorax) or pus ( empyema) from the intrathoracic space.
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