Chest Drains

CHEST DRAINS Presenter: Dr.Nishad.P.K Moderator :Prof: Lokesh AIIMS , NewDelhi

Anatomy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Lung Visceral pleura Parietal pleura

Physiology ,[object Object],[object Object]

Indications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pre-drainage risk assessment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Chest drainage systems ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Chest tubes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Chest tube size ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Patient tubing ,[object Object],[object Object],[object Object],[object Object],b c a a b c

Physics and physiological aspects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

One bottle chest drainage system ,[object Object],[object Object],[object Object],[object Object],Tube from patient Tube open to atmosphere vents air

Physics and physiological aspects ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Two bottle chest drainage system ,[object Object],[object Object],[object Object],[object Object],Tube from patient Tube open to atmosphere vents air 2cm fluid Fluid drainage

Three bottle chest drainage system ,[object Object],Tube to vacuum source Tube open to atmosphere vents air Tube from patient Fluid drainage

Contd.. ,[object Object],[object Object],[object Object],[object Object]

Draw backs of three bottle system ,[object Object],[object Object],[object Object],[object Object]

Disposable chest drainage systems ,[object Object],[object Object],[object Object],[object Object]

From bottles to a box To suction From patient Suction control chamber Water seal chamber Collection chamber from patient Collection bottle Water seal bottle Suction control bottle

Contd… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Heimlich valve ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Setting up a chest drain system ,[object Object],[object Object],[object Object]

Equipments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Equipments ,[object Object],[object Object],[object Object]

Patient preparation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Patient position ,[object Object],[object Object],[object Object]

Insertion site ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Direction of tube ,[object Object],[object Object],[object Object],[object Object],[object Object]

Complications Wound infection Empyema Infective Drain failure(dislodgement,kinked,blocked) Re expansion pulmonary edema Bronchopleural fistula pneumothorax Positional Pain Placement outwith pleural cavity-( s/c,intra abdominal,solid organ) Puncture of solid organ (liver,spleen,heart,lung,oesophagus) Puncture of inter costal artery- hemothorax Insertion on incorrect side Inter costal neuralgia S/C emphysema Insertional

Patient care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Patient care (contd …) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Patient care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Patient care (contd…) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Timing of chest tube removal ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Removing the chest tube ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Looking towards future-mobile chest drains ,[object Object],[object Object],[object Object],[object Object]

Chest Drains

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Chest Drains