AnatomyDiseasesChemicals and DrugsAnalytical, Diagnostic and Therapeutic Techniques and EquipmentPhenomena and ProcessesHealth Care
Chest TubesThoracostomyPneumothoraxEmpyema, PleuralDrainageHemothoraxChest PainPleural EffusionPleurodesisThoracic Surgery, Video-AssistedThoracic InjuriesThoracoscopyChylothoraxPleural CavityRadiography, ThoracicDevice RemovalPneumonectomySuctionIntubationX-Ray FilmPleural Effusion, MalignantThoracotomyParacentesisEmpyemaPulmonary AtelectasisThoracic Surgical ProceduresPollen TubeTalcPleural DiseasesPleuraThoracoscopesPostoperative CareRib FracturesNeural Tube DefectsTomography, X-Ray ComputedLength of StayTreatment OutcomeIntubation, IntratrachealFilm DosimetryThoracic WallInstillation, DrugEquipment DesignNeural TubeLung DiseasesFallopian TubesTime FactorsRetrospective StudiesBronchial FistulaKetorolacBlood Loss, SurgicalMass Chest X-RayPostoperative HemorrhageProspective StudiesThoraxEustachian TubeFlail ChestCardiopulmonary BypassLung Neoplasms
RadiographThoracostomy tubePneumothoraxInsertionRoutineInterventionCasesPatient
Radiograph2
  • Our objective was to determine the clinical value of obtaining a chest radiograph after removal of a chest tube. (medscape.com)
  • Obtain an upright chest radiograph as quickly as possible. (medscape.com)
Thoracostomy tube2
Pneumothorax4
  • Four patients (4.2%) had a pneumothorax after chest drain removal, one patient required insertion of a further chest drain for pneumothorax, and one patient required an additional drain because of recurrent pleural effusion. (medscape.com)
  • Through ensuring that simple safety measures are in place and staff are well trained in chest drain removal, the number of cases of pneumothorax can be significantly reduced, decreasing both the length of hospital stay and the need for further invasive interventions. (medscape.com)
  • If chest radiography shows that a hemothorax is large enough to obscure the costophrenic sulcus or is associated with a pneumothorax, it should be drained by tube thoracostomy . (medscape.com)
  • In cases of hemopneumothorax, placement of two chest tubes may be preferred, with the tube draining the pneumothorax placed in a more superior and anterior position. (medscape.com)
Insertion1
Routine4
  • Eliminating routine postremoval radiographs after chest tube removal in pediatric patients will lessen radiation exposure and provide cost savings with no adverse impact on outcome. (medscape.com)
  • Omission of routine CXR after chest tube removal in selected patients decreases hospital charges without compromising patient safety or clinical outcomes. (medscape.com)
  • Omission of routine postoperative chest tube removal CXR is safe, and removal of chest tubes in postoperative cardiac patients is not an indication for CXRs. (medscape.com)
  • No data support routine antibiotic coverage of chest tubes in patients with hemothorax. (medscape.com)
Intervention2
  • Only two patients (0.7%) required an intervention based on symptoms, not based on the postremoval film. (medscape.com)
  • There was a 1.5% incidence of therapeutic intervention after chest tube removal. (medscape.com)
Cases2
  • Even in cases of nontraumatic hemothorax that are not identified until diagnostic needle aspiration is performed, complete evacuation of these collections often requires treatment with tube thoracostomy, much as with hemothoraces resulting from other causes. (medscape.com)
  • In cases of trauma, patient assessment should be performed using the advanced trauma life support (ATLS) protocol before tube thoracostomy for hemothorax. (medscape.com)
Patient1
  • The need for a chest tube in an asymptomatic patient is unclear, but if the patient has any respiratory distress, perform thoracostomy. (medscape.com)