What is the standard site for insertion of a chest tube?
Identify the insertion site, which is usually the fourth or fifth intercostal space in the mid-to-anterior axillary line (just lateral to the nipple in males), immediately behind the lateral edge of the pectoralis major muscle. Direct the tube as high and anteriorly as possible for a pneumothorax.
Which intercostal space is entered for a chest tube?
The most appropriate site for chest tube placement is the 4th or 5th intercostal space in the mid- or anterior- axillary line. Attention to technique in placing the chest tube is vital to avoid complications from the procedure.
What is the site of chest tube insertion of the chest tube is for pneumothorax?
Inserting a chest tube is called a chest tube thoracostomy. It’s typically an emergency procedure, but it might also be done if you’ve had surgery done on the organs or tissues in your chest cavity. During chest tube insertion, a hollow plastic tube is inserted between your ribs into the pleural space.
What is trocar catheter?
The TROCAR CATHETER is a medical puncture instrument for draining fluids from body cavities. It allows for penetration and placement with Monaldi and Bülau techniques with minimal trauma.
What’s a Thoracostomy?
Thoracostomy is a procedure that places a tube in the space between your lungs and chest wall (pleural space). It’s done to drain fluid, blood, or air from the area around your lungs.
What is the difference between hemothorax and pneumothorax?
Pneumothorax, which is also known as a collapsed lung, happens when there is air outside the lung, in the space between the lung and the chest cavity. Hemothorax occurs when there is blood in that same space.
Why is chest tube insertion in 5th intercostal space?
Placement: A thoracostomy tube is usually placed between the mid to anterior axillary line in the fourth or fifth intercostal space tracking above the rib so as not to injure the intercostal bundle (artery, vein, nerve).
What is the difference between thoracotomy and thoracostomy?
Thoracotomy is surgery that makes an incision to access the chest. It’s often done to remove part or all of a lung in people with lung cancer. Thoracostomy is a procedure that places a tube in the space between your lungs and chest wall (pleural space).
What’s a thoracostomy?
What is the difference in placement location of a chest tube when inserted for a hemothorax vs pneumothorax?
Usually, for pneumothorax, a straight tube is placed toward the apex. For hemothorax or pleural effusion, typically a straight tube is placed posterior and toward apex and/or a right-angled tube can be placed at the base of lung and diaphragm.