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2021-05-26

Why should you not clamp a chest tube?

Why should you not clamp a chest tube?

As a rule, avoid clamping a chest tube. Clamping prevents the escape of air or fluid, increasing the risk of tension pneumothorax. This establishes a water seal, allows air to escape, and prevents air reentry [8], [18].

How often do you change chest tube dressing?

Chest Drain Dressings Dressings should be changed if: no longer dry and intact, or signs of infection e.g. redness, swelling, exudate. Infected drain sites require daily changing, or when wet or soiled. No evidence for routine dressing change after 3 or 7 days.

Why are chest tubes used?

A chest tube is a plastic tube that is used to drain fluid or air from the chest. Air or fluid (for example blood or pus) that collects in the space between the lungs and chest wall (the pleural space) can cause the lung to collapse.

When can chest tubes be removed?

Chest tubes are commonly used to drain fluid following surgery involving the pleural space. Removal can be considered when there is no empyema or air leak, and fluid drainage has decreased to an acceptable level.

How painful is chest tube removal?

The pain during the removal is characterized as one of the most distressing for patients and some have reported as the worst memory during hospitalization. Despite its very frequent use, few studies about the best way to remove a drain were done and we are far from a consensus.

Can a chest tube cause nerve damage?

Placing chest tubes far into the thorax can result in perforation of heart, injuries to large vessels, perforation of the oesophagus, and nerve injuries.

What happens after chest tube is removed?

You may have some pain in your chest from the cut (incision) where the tube was put in. For most people, the pain goes away after about 2 weeks. You will have a bandage taped over the wound. Your doctor will remove the bandage and examine the wound in about 2 days.

What is post thoracotomy syndrome?

Post-thoracotomy syndrome, or post-thoracotomy pain syndrome, describes pain felt by the patient for a minimum of two months after the thoracotomy procedure. This syndrome is chronic and relatively common among those who have undergone a thoracotomy, and the symptoms can vary greatly in duration and severity.