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Chest Drains
1.
CHEST DRAINS Presenter:
Dr.Nishad.P.K Moderator :Prof: Lokesh AIIMS , NewDelhi
2.
3.
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5.
Pleural effusion
6.
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Chest tubes
11.
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21.
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
22.
23.
24.
From box to
bedside
25.
Our drainage systems
a b c d
26.
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28.
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30.
31.
32.
33.
34.
Procedure contd..
35.
36.
37.
Suturing and sterile
dressing
38.
Improper chest tube
fixation
39.
Get a CXR
done
40.
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
41.
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45.
46.
47.
48.
Removing the chest
tube
49.
50.