Depending on the age and size of your baby, the normal hourly output varies. This monitors the drainage color and amount. WHAT ARE THE COMPONENTS OF A CHEST TUBE?ĭrainage collection chamber. Without intervention, this may lead to serious respiratory or circulatory compromise and rapid deterioration of the baby. This helps with re-expansion of the lung(s) and helps to restore the negative pressure in the pleural space. The tube is connected to a drainage system that uses gravity and/or suction to remove the foreign substance and to prevent the air from re-entering. This involves draining/removing any fluid, blood or air that has accumulated and may be compressing the lung(s). How does a chest tube work?Ī chest tube is placed in the pleural or mediastinal space in order to restore the negative intrathoracic pressure needed for lung re-inflation. Post operatively as a surgical drain following cardiac surgery, a thoracotomy, or mediastinal surgery. An accumulation of chyle in the pleural space. Fluid excess in the pleural space.Ĭhylothorax. A collection of pus in the pleural cavity. The same as above but with blood in the pleural space instead of air.Įmpyema. An air leak in the pleural space, causing the lung to collapse due to compression. WHY ARE CHEST TUBES PLACED?Ĭhest tubes are placed in babies as a means to provide relief of respiratory distress associated with various conditions & etiologies.Ĭlinical indications for a chest tube include: Good times… It wasn’t until I actually started working with them on a daily basis in the NICU where it all finally clicked and the lightbulb turned on. “ Is bubbling good or bad?” “ Is the water seal chamber on the right or left?” So. Everyone else understood the concept just fine whereas I couldn’t comprehend it for the life of me. One of them being CHEST TUBES! I remember feeling so dumb and embarrassed in class. There were many subjects that I couldn’t quite wrap my brain around during nursing school.
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