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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]
Pleural effusion
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]
[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 tubes
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]
From box to bedside
Our drainage systems  a b c d
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]
Procedure  ,[object Object]
Procedure contd..
 
 
Suturing and sterile dressing
Improper chest tube fixation
Get a CXR done
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]
Removing the chest tube
Looking towards future-mobile chest drains ,[object Object],[object Object],[object Object],[object Object]
 

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