Wednesday, November 22, 2006

Chest Tube review

Chest Tubes
(f)x= to remove air/fluid from the pleural space. To re-expand the lungs.
Simple things to Remember
Normal breathing works on -neg- pressure.
Pressure in the chest cavity is lower than the pressure in the atmosphere--Air moves into the lungs during inspiration.
When the chest is open from surgery or trauma - pressure is lost and the lung can collapse.
Chest tubes drain fluid or gas. Normally 20mL in pleural space.
Pneumothorax= air in the pleural space. Common from surgery.
Hemothorax= blood or serous fluid in the pleural space. Both lead to a decrease in gas exchange.
The chest tube will restore the -neg-pressure needed.
Small bore chest tube--7F to 12F, has a one way valve that prevents the air from moving back to the patient.
Large bore tube--up to 40F. Usually connected to drainage.
Wet Water Seal- amount of suction made by the amount of water instilled in the suction chamber. The amount of bubbling tells how strong the suction is. The water seal prevents the water from being sucked back to the patient on inspiration.
When wall suction is off--must be open to air.
To prevent pneumothorax, tube can be placed in sterile water for a temporary water seal.
Leaks
To check @ insertion site= clamp briefly at site with padded hemostats. If the bubbling stops in the water seal chamber= Leak at insertion site.
To check tubing= pinch rubber connecting tubing. If bubbling stops=leak at connecting site.
The water seal chamber should not be bubbling. Small amount of bubbling when- suction starts, drainage displacement, or a cough displaces air.
Remember
Check q 15min-1 hour first day post operative.
Water Seal chamber should have 2cm tidaling water.
Suction control= 20cm H2O regulates amount of suction
Document the drainage. Do not empty drainage (MD)
Dislodged tube: Have patient exhale. Compress site and provide a tight seal. Apply occlusive dressing. Notify MD
Chest tube disconnected from site: Clamp tube with padded hemostats near the insertion site. Create and underwater seal.
And we know that we will be using a pleur-evac...but since they are still testing us on this old 3 bottle system....anyway good to know the system to understand the concept of the pleur-evac drainage/suction system.

50 comments:

Anonymous said...

It is very interesting for me to read this article. Thank you for it. I like such themes and everything connected to this matter. I would like to read a bit more on that blog soon.

Anonymous said...

Rather interesting blog you've got here. Thanx for it. I like such themes and everything connected to them. I definitely want to read a bit more on that blog soon.

Anonymous said...

Hello
Companies House Webcheck
Webcheck Companies House
Company House Webcheck
Companies House Webcheck Service

[url=http://perosnalbinking.v3host.be/companies-house-webcheck.html]companies house webcheck service[/url]

Anonymous said...

http://libertarianrepublican.blogspot.com/2009/02/australia-arson-suspect-arrested-muslim.html

Anonymous said...

The effects are gradual and the result will vary for each user.(vimax pills) However, further review show that most users experience benefits within the first week. In the first month you can expect erections that stay longer than usual and your penile may even start to become wider. penis enlargement pills - http://www.cucumaerot.com

Anonymous said...

They are becoming the enhancement option of choice for many men for several reasons. vimax pills is the best penis enlargement pills on the market today.more info visit http://www.male-sexual.com/vimax-pills.html
- http://www.pillspenisproducts.com

true male masturbation stories said...

I then pay thebill and we move from the eating side of the bar to the barstools. It was natures way, and science hadproved over and over how they could duplicate the form, but rarely thefunction.
lesbian sex slave stories
interracial fuck stories and pictures
lesbian erotic stories
xnxx stories sucking a big cock
nifty pedo exam stories
I then pay thebill and we move from the eating side of the bar to the barstools. It was natures way, and science hadproved over and over how they could duplicate the form, but rarely thefunction.

Anonymous said...

Keep on writing, great job!

Also visit my web page: waist hip ratio calculator

Anonymous said...

Hello there! This is my first comment here so I just wanted to give a quick shout out and tell you I truly enjoy reading your posts.
Can you suggest any other blogs/websites/forums that deal with the same topics?
Many thanks!

my website :: viagra cialis levitra erectile dysfunction impotence

Anonymous said...

Quality articles is the main to invite the viewers to visit the website, that's what this web site is providing.

Feel free to visit my page :: natural sleep aid

Anonymous said...

Awesome article.

My web-site metabolic rate calculator

Anonymous said...

Thank you for sharing your info. I truly appreciate your efforts and I am waiting for your next write ups thank
you once again.

Also visit my web page; buy capsiplex australia

Anonymous said...

Your style is unique compared to other people I have read stuff from.
I appreciate you for posting when you've got the opportunity, Guess I will just bookmark this page.

My weblog :: http://display.donga.ac.kr/xe/facilities/199

Anonymous said...

If some one desires to be updated with latest technologies therefore he must be pay a
quick visit this website and be up to date daily.

Check out my weblog phen375

Anonymous said...

Attractive section of content. I just stumbled upon your weblog and in accession capital to assert that I get actually enjoyed account your blog posts.
Anyway I will be subscribing to your feeds and even I achievement you access consistently rapidly.


Check out my homepage; eliminate toenail fungus

Anonymous said...

Hello, yes this post is in fact fastidious and I have learned lot of things from it on the topic of blogging.
thanks.

Also visit my homepage - sperm count test

Anonymous said...

I have been surfing online greater than 3 hours these days, but I
never discovered any interesting article like yours.

It is pretty value sufficient for me. In my opinion, if
all web owners and bloggers made excellent content material as you probably did, the net will probably be much more helpful than
ever before.

Feel free to visit my blog ... eklablog.com

Anonymous said...

Excellent weblog here! Also your site loads up fast! What host are you using?
Can I get your affiliate link to your host? I wish my web site loaded up
as quickly as yours lol

Feel free to visit my web-site - buygenf20.eklablog.com

Anonymous said...

Very nice post. I just stumbled upon your blog and wished to say that I have truly enjoyed surfing around your blog posts.
In any case I will be subscribing to your feed and I hope you write again very soon!


my web-site; buyproenhance.eklablog.com

Anonymous said...

Hello! Do you know if they make any plugins to assist with SEO?
I'm trying to get my blog to rank for some targeted keywords but I'm not seeing very good results.
If you know of any please share. Appreciate it!

Here is my blog ... ProEnhance

Anonymous said...

Now I am going to do my breakfast, later than having my breakfast coming over again to read
further news.

Feel free to visit my website ... isthewinwin.com

Anonymous said...

Hi there very nice blog!! Man .. Excellent .. Amazing
.. I will bookmark your blog and take the feeds also?
I am happy to seek out a lot of useful information right
here within the put up, we'd like work out extra techniques on this regard, thanks for sharing. . . . . .

My web site - bmi calculation

Anonymous said...

For most recent news you have to visit web and on the web I
found this web site as a most excellent web page for most recent updates.


My weblog; adiphene

Anonymous said...

I every time spent my half an hour to read this blog's articles or reviews every day along with a cup of coffee.

My blog post zetaclear

Anonymous said...

Hi! I know this is somewhat off topic but I was wondering which blog platform are
you using for this website? I'm getting sick and tired of Wordpress because I've had issues with hackers and I'm looking at options for another platform. I would be awesome if you could point me in the direction of a good platform.

Look at my weblog ... http://ref.express.free.fr/

Anonymous said...

It's truly very difficult in this busy life to listen news on Television, thus I simply use web for that purpose, and get the most recent news.

my web-site; Total Supply Curve Equation

Anonymous said...

Hello there I am so happy I found your webpage, I really found you by error, while I was looking
on Yahoo for something else, Regardless I am here
now and would just like to say many thanks for a remarkable post and a all round entertaining blog (I also love the theme/design), I don’t
have time to browse it all at the moment but I have saved it and also added your
RSS feeds, so when I have time I will be back to read
much more, Please do keep up the excellent jo.

my web page ... http://zetaclearorder.mylivepage.com/

Anonymous said...

Its such as you read my mind! You appear to grasp a lot about this, such as you wrote the e book in it or something.
I believe that you just can do with some p.c. to
force the message home a little bit, but instead of that, that is wonderful blog.

An excellent read. I will definitely be back.


Feel free to surf to my website ... car dealer sydney

Anonymous said...

Pretty element of content. I just stumbled upon
your site and in accession capital to say that I acquire in fact enjoyed account your blog posts.
Anyway I will be subscribing in your feeds and even I achievement you
access constantly quickly.

my site ... hemorrhoids homeopathic

Anonymous said...

Normally I do not read post on blogs, but I wish to say that this write-up very pressured
me to take a look at and do it! Your writing taste has been surprised me.
Thank you, quite nice article.

my blog :: nail fungal treatment review

Anonymous said...

This paragraph provides clear idea designed for the new
viewers of blogging, that really how to do blogging and site-building.


Review my homepage; alteril

Anonymous said...

This design is incredible! You definitely know how to keep a reader entertained.
Between your wit and your videos, I was almost moved to
start my own blog (well, almost...HaHa!) Wonderful job.
I really enjoyed what you had to say, and more than that, how you presented it.
Too cool!

Look into my homepage; virility ex indonesia

Anonymous said...

I'm truly enjoying the design and layout of your blog. It's a
very easy on the eyes which makes it much more enjoyable for me
to come here and visit more often. Did you hire out a designer to create your theme?
Excellent work!

Check out my homepage :: buy total curve

Anonymous said...

Thank you for the good writeup. It in truth was a leisure account it.
Look complicated to far brought agreeable from you! However, how could we communicate?


Also visit my site - fat burn diet

Anonymous said...

Hi! I've been reading your web site for a while now and finally got the courage to go ahead and give you a shout out from Porter Texas! Just wanted to say keep up the excellent work!

Here is my site - breast enlargement machine

Anonymous said...

You really make it seem so easy together with your presentation but I find this topic to be really one thing that I
feel I'd never understand. It seems too complicated and very wide for me. I am taking a look ahead to your next submit, I'll try
to get the hold of it!

Feel free to visit my blog post - thyromine

Anonymous said...

I'm not sure where you are getting your info, but great topic. I needs to spend some time learning more or understanding more. Thanks for great information I was looking for this information for my mission.

my homepage - fungus in toe nail

Anonymous said...

I do not comment, however after looking at a few of the comments on this page "Chest Tube review".
I actually do have a couple of questions for you if it's allright. Could it be only me or do a few of these comments look like they are left by brain dead individuals? :-P And, if you are posting on additional sites, I'd like to keep up with everything new you have to post.
Could you make a list of all of your social networking sites like your linkedin
profile, Facebook page or twitter feed?

my blog; natural way to get rid of nail fungus

Anonymous said...

Great blog here! Also your web site loads up fast! What
web host are you using? Can I get your affiliate link
to your host? I wish my web site loaded up as quickly as yours lol

my web page - buy provillus

Anonymous said...

Hi there it's me, I am also visiting this web page regularly, this site is actually good and the users are actually sharing fastidious thoughts.

Review my page; provillus does not work

Anonymous said...

Hi! I could have sworn I've visited this website before but after going through some of the articles I realized it's new to me.
Nonetheless, I'm definitely pleased I stumbled upon it and I'll be bookmarking it and checking
back often!

Also visit my blog :: buy revitol rosacea

Anonymous said...

An intriguing discussion is worth comment. I believe that you ought to write more about
this issue, it may not be a taboo matter but
usually people do not talk about these topics. To the next!
Kind regards!!

my web site; provillus

Anonymous said...

For latest information you have to pay a quick visit internet and on the web I found this
web site as a most excellent web page for latest updates.


my web page breast actives

Anonymous said...

I am not sure where you are getting your information, but great topic.
I needs to spend some time learning more or understanding more.

Thanks for great information I was looking for this information for my mission.


my weblog; breast active side effects

Anonymous said...

You should be a part of a contest for one of the greatest blogs online.
I'm going to highly recommend this site!

Feel free to surf to my website buy african mango plus

Anonymous said...

Sweet blog! I found it while searching on Yahoo News.
Do you have any suggestions on how to get listed in Yahoo News?
I've been trying for a while but I never seem to get there! Appreciate it

Also visit my weblog - venapro scam

Anonymous said...

It's going to be finish of mine day, but before finish I am reading this fantastic paragraph to improve my experience.

Feel free to visit my homepage; buy proactol

Anonymous said...

Wow, that's what I was exploring for, what a stuff! present here at this blog, thanks admin of this site.

Here is my blog post ... buy zetaclear

Anonymous said...

Nice blog here! Also your website loads up
fast! What host are you using? Can I get your affiliate link to your
host? I wish my website loaded up as fast
as yours lol

Look into my web site :: http://creatinemusclebuilder.herbalcurenow.com/

Anonymous said...

Wow! After all I got a weblog from where I be able to actually take helpful data concerning my study and knowledge.


My web-site: buy venapro