(Intercostal drainage and chest tube care)
1
, 1. Trauma 2. Spontaneous pneumothorax 3. Massive pleural
effusion and mallgnant pleural effusion 4. Empyema thoracis and
early empyema 5. Chylothorax2
prophylactic ICD 1. trauma chest injury under GA 2 2. on
ventilator with PEEP subcutaneous emphysema
3
ICD 2 1. - silicone polyethylene tube - Latex tube () 2. -
Mallicot (four-wings)
4
1. ICS 2nd 3rd anterior mid clavicular line 2. ICS 5th 6th
Lateral mid axillary line 3. loculated film x-ray PA lateral
ultrasound
5
suction - suction 10-20 mmHg. 50 mmHg
- 1 + suction regulate pressure 2 cm. safty valve
6
- drainage fluid suction air fluid 1
7
- suction pressure ( constant pressure ) regular pressure drain
1 3 pressure 10 . () 10-2 = 8 .
8
9
3 2 Y connector
10
Balanced chest drainage space chest pneumonectomy
mediastinum
11
Lacerate lung chest wall bleeding lmproper position of tube
Chest tube occlusion Subcutaneous emphysema Air leak Subcutaneous
infection12
2 50 ml 2
13
