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Topic: Chest drain

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Collapsed lung

Pneumothorax

Mechanical ventilation

Vacuum

	Chest drain. Small Animal Diagnostic and Treatment Techniques
		The drain should enter the skin surface at the 10th intercostal space, tunnel subcutaneously, 2 to 3 spaces, and penetrate the chest wall at the 7th or 8th intercostal space.
		The operator is pushing the catheter through the chest wall with her right hand and is using her left hand as a "stop" to control the depth of insertion into the pleural space.The subcutaneous tunnel is created when the skin is released.
		After penetrating the chest wall, the catheter and stylet are angled forward and parallel to the chest wall, to direct the catheter forward when it is slid off the stylet.
	courses.vetmed.wsu.edu /samdx/drain.asp (965 words)

	Trauma.org \| Chest drain insertion
		Chest tube insertion is also appropriate to prevent the development of a pleural collection, such as after a thoractomy or to prevent a tension pneumothorax in the ventilated patient with rib fractures.
		After entering the pleural cavity a finger is inserted, and depending on the position of the tract one may feel the texture of the lung surface (for contusion), the surface of the diaphragm (for lacerations) and the heart (for the presence of tamponade).
		The chest tube is placed (on the correct side) in the mid- or anterior- axillary line, behind pectoralis major (to avoidhaving to dissect through this thick muscle).
	www.trauma.org /index.php/main/article/400 (1406 words)

	[No title] (Site not responding. Last check: 2007-09-26)
		Chest tube thoracostomy is done to drain fluid, blood, or air from the space around the lungs.
		Chest tube thoracostomy (commonly referred to as "putting in a chest tube") involves placing a hollow plastic tube between the ribs and into the chest to drain fluid or air from around the lungs.
		Chest tubes are frequently needed to remove air from around the lung.
	www.thoracic.org /assemblies/cc/ccprimer/infosheet12.html (688 words)

	Mesothelioma Diagnosis
		For pleural fluid this is done by a pleural tap or chest drain, in ascites with an paracentesis or ascitic drain and in a pericardial effusion with pericardiocentesis.
		If the malignant cells are in the chest, the surgeon may carry out a thoracoscopy.
		In this method, the surgeon makes a tiny cut through the chest wall and puts a thin, lighted tube usually referred to as a thoracoscope into the chest between two ribs.
	www.e-mesothelioma.us /Diagnosis (329 words)

	Med-Lib - Medical Online Library - English Articles - Oxford Textbook of Surgery - Principles and practice of thoracic ...
		The extent of a pneumothorax is determined on the chest radiograph by measuring the distance from the lung border to the inside of the thoracic wall at the level of the anterior bony end of the third rib.
		The intercostal drain is simply a conduit used to remove air, blood, pus, or fluid from the pleural cavity, thereby preventing compression of the lung and allowing it to re-expand.
		The chest drain should never be clamped in the presence of an air leak because of the risk of tension pneumothorax.
	med-lib.ru /english/oxford/princ_drainage.shtml (8554 words)

	Chest Freezer World - Chest Freezers by Arctic Air and True Mfg. - Restaurant Equipment World
		Chest Freezer World - Chest Freezers by Arctic Air and True Mfg.
		Chest freezer, white textured steel exterior, white poly-coated steel interior, one baskets, lift-up lid w/pop-up safety lock, manual defrost, water drain port, casters
		Chest Freezer, to -18°F, white textured steel exterior, white poly-coated steel interior, baskets, tempered sliding glass doors w/heavy duty metal locks, manual defrost, water drain port, casters.
	www.chestfreezerworld.com (309 words)

	chest drain (procedure) - General Practice Notebook (Site not responding. Last check: 2007-09-26)
		A chest drain may be inserted into the pleural cavity to clear it of blood or air, and except in an acute tension pneumothorax, should be preceded by a plain chest x-ray.
		Use a scalpel to incise the chest wall about 2 cm beneath the proposed site of insertion and complete the drain track through to the pleural cavity by blunt dissection with artery forceps.
		Ask the patient to cough - air bubbles in the water confirms that the drain is in position and is working.
	www.gpnotebook.co.uk /cache/-946208765.htm (317 words)

	Dhebri AR, Ferran N. Nonsurgical Management of Pancreaticopleural Fistula. JOP. J Pancreas (Online) 2005; 6(2):152-161. ...
		A chest drain was inserted draining 2 litres, which was removed after 6 days as it had stopped draining.
		A chest drain was inserted draining 1.5 L of fluid.
		ERCP has been used to drain fistula by insertion of naso-pancreatic drains for 1 week, followed by placement of an endoprosthesis in the pancreatic duct [1, 3, 8].
	www.joplink.net /prev/200503/13.html (4553 words)

	Management of a pleural effusion : CancerBACUP
		In some situations it may be possible to have your pleural effusion drained while you are at home using a catheter that is very similar to a chest drain.
		The drain may then be attached to a suction machine to apply a small amount of pressure, which encourages the pleura to become sealed together.
		When the drain is removed, if there was a stitch holding the drain in, it can be pulled together, sealing the hole which is then covered with a dressing.
	www.cancerbacup.org.uk /info/pleural-effusion.htm (1167 words)

	BestBETs: Seldinger technique chest and complication rate...
		You elect to place a chest drain and discover that you have a seldinger 'over-the-wire' technique chest drain in front of you.
		There is no comparative work looking at the use of a seldinger technique for placement of chest drains in adult trauma patients.
		Complications such as recurrence of the pneumothorax, kinking of the drain do still occur as is seen in the open technique, but insertion complications or difficulties seem to be rare.
	www.bestbets.org /cgi-bin/bets.pl?record=00326 (444 words)

	Optimal Design of Small
		To restore the chest to its normal condition, all air and fluid must be removed, and the source of an air leak must be closed.
		There are two basic considerations relative to the design of a chest drain from a functional point of view and patient comfort; size and flexibility.
		24F chest drain with the length of 20cm was used in this calculation and the radius of the hole size was 0.2cm.
	www.research.rutgers.edu /~knight/CCD/si_2002/chung/chung_ccd2002.html (1381 words)

	Mobile Chest Drain (Site not responding. Last check: 2007-09-26)
		Atrium Medical Corporation's newest chest drain, the Express Mini 500, is small, compact, lightweight, and has all the features of a standard-sized chest drain.
		In this time of over-crowded and under-staffed hospitals, there is a need for a smaller, lightweight, fully functional chest drain.
		Atrium is known for its high technology presence in coronary stents, minimally invasive intervention of peripheral blood vessels, state-of-the-art hernia repair, drug delivery research to remote and difficult tissue targets, and innovative solutions targeted in hemodialysis access and facial plastic surgery.
	www.yenra.com /mobile-chest-drain (147 words)

	Breast Deformity in Adolescence as a Result of Pneumothorax Drainage During Neonatal Intensive Care -- Rainer et al. ...
		of multiple chest drains as newborns because of pneumothoraces.
		Sixteen-year-old female with a deep scarred retraction at the lower-outer quadrant and a large scar 1 cm below the inframammary fold on her left breast after placement of chest drains because of multiple pneumothoraces as preterm infant.
		High incidence of lung perforation by chest tube in neonatal pneumothorax.
	pediatrics.aappublications.org /cgi/content/full/111/1/80 (2337 words)

	Chest drains
		Chest drain is a conduit to remove air or fluid from the pleural cavity
		To drain fluid it should be inserted to base of pleural cavity
		Drain should be anchored and purse-string or Z-stitch inserted in anticipation of removal
	www.surgical-tutor.org.uk /specialities/cardiothoracic/chest_drains.htm (391 words)

	BTS guidelines for the insertion of a chest drain -- Laws et al. 58 (Supplement 2): 53 -- Thorax
		BTS guidelines for the insertion of a chest drain -- Laws et al.
		Chest drain insertion has been reported to be a painful procedure
		Intervential radiology of the chest: image-guided percutaneous drainage of pleural effusions, lung abscess, and pneumothorax.
	thorax.bmjjournals.com /cgi/content/full/58/suppl_2/ii53 (4559 words)

	[No title]
		Why is the tube of a chest drain placed underwater and what techniques would you employ to ensure that the chest drain is still patent?
		Insert the drain into the pleural cavity and slide into position (usually towards the apex).
		The basic requirements are a suitable chest drain with minimal resistance, an underwater seal and a collection chamber.
	www.frca.co.uk /article.aspx?articleid=245 (534 words)

	Mediastinal chest drain clearance for cardiac surgery (Cochrane Review)
		Mediastinal chest drains (including pericardial drains) are inserted as standard post-operative practice following cardiac surgery to assist the clearance of blood from the pericardial space and to prevent cardiac tamponade.
		On the basis of single studies there was no evidence of a difference between groups on incidence of chest tube blockage, heart rate, cardiac tamponade or incidence of surgical re-entry.
		Authors' conclusions: There are insufficient studies which compare differing methods of chest drain clearance to support or refute the relative efficacy of the various methods in preventing cardiac tamponade.
	www.update-software.com /abstracts/AB003042.htm (474 words)

	A regional survey of chest drains: evidence-based practice? -- Tang et al. 75 (886): 471 -- Postgraduate Medical Journal
		Although the use of chest drains is common in medicine, there appear to be wide variations in practice.
		Intercostal chest drains are commonly used to manage a variety of thoracic conditions by doctors working in different specialties.
		A questionnaire on various aspects of the insertion and management of chest drains (box 1) was sent to all consultants practising
	pmj.bmjjournals.com /cgi/content/full/75/886/471 (2226 words)

	MedlinePlus Medical Encyclopedia: Heart bypass surgery
		The symptoms of this syndrome are fever and chest pain.
		Two to three tubes in the chest drain fluid from around the heart and are usually removed one to three days after surgery.
		A urinary catheter in the bladder drains urine until the patient is able to void on his own.
	www.nlm.nih.gov /medlineplus/ency/article/002946.htm (1857 words)

	Chest Tubes (Thoracic Drainage/Tube Thoracostomy) (Site not responding. Last check: 2007-09-26)
		Chest tubes, lung entrapment, and failure to wean from the ventilator.
		The effects of early chest tube placement on empyema resolution.
		Chest tube decompression of blunt chest injuries by physicians in the field: effectiveness and complications.
	www.umdnj.edu /rspthweb/bibs/chestube.htm (797 words)

	Mass High Tech (Site not responding. Last check: 2007-09-26)
		A unanimous jury had found in the November 2002 decision that Atrium's Express Dry Suction Chest Drains did not infringe the five chest drain medical device patents that were litigated by Genzyme.
		Atrium recently launched several new chest drainage products, including the world’s first truly "wearable chest drain" to allow patients the benefits of early ambulation with the latest in mobile chest drain technology.
		Atrium produces a broad spectrum of medical device technologies used for open heart surgery, emergency chest trauma, thoracic drainage and surgical repair of diseased blood vessels.
	www.canbiotech.com /newsUrl.asp?nId=71483 (150 words)

	Surgery Disposable Products Wound Suction Unit, Catheter Abdominal Drain Kit
		Suitable to offer surgeons and doctors an effective device for closed wound drainage under negative pressure post operatively with the option to use one catheter or two catheters simultaneously
		Radon drains catheters are provided with radio opaque line and satin smooth eyes
		Distal end is open with super smooth large eyes to maximize the drainage from the chest
	www.mediplusindia.com /surgery.htm (362 words)

	DARE abstract20028128 (Site not responding. Last check: 2007-09-26)
		Studies of interventions related to the management of chest drain dressings, tubing, drainage units, disconnection and removal were eligible for inclusion.
		The broad groups were dressings, tubing, drain bottle/unit, disconnection, and removal of chest drains.
		Research: The author states that there is a need for rigorous research in all areas relating to the nursing management of chest drains, and that nursing management of chest drains in minors requires urgent research.
	nhscrd.york.ac.uk /online/dare/20028128.htm (1302 words)

	Pitfall in coronary artery bypass surgery: poor flow of left internal mammary artery to left anterior descending artery ... (Site not responding. Last check: 2007-09-26)
		Pitfall in coronary artery bypass surgery: poor flow of left internal mammary artery to left anterior descending artery graft due to compression by a chest drain -- Knipp et al.
		Pitfall in coronary artery bypass surgery: poor flow of left internal mammary artery to left anterior descending artery graft due to compression by a chest drain
		Position of the drain is marked by small arrows.
	www.ejcts.ch /cgi/content/full/22/3/438 (344 words)

	Ice Chest Drain
		Your hose should be no longer than needed to get the job done, and once it starts going downhill it should never go uphill again...this will cause natural water traps (just like under your sink) and will slow down the drainage and not allow all the water to be removed from bin.
		Once done the water should drain right to the top of the fitting in the bin, this will be about 1/8 if an inch of water left...nothing a quick wipe with a towel can't handle.
		NOTE: Once you are done fitting and testing the drain, use a small hose clamp on each end of the vinyl tube.
	www.geocities.com /SunsetStrip/Studio/4136/drain.htm (441 words)

	chest drain (Site not responding. Last check: 2007-09-26)
		Mediastinal chest drain clearance for cardiac surgery (Cochrane Review) Wallen M, Morrison A, Gillies D, O'Riordan E, Bridge...
		or evidence of penetrating trauma to a hemithorax should have a chest drain placed emergently.
		chest tube") involves placing a hollow plastic tube between the ribs and into the chest to drain fluid or air from around the lungs.
	drains-combo.blind9.com /chest-drain.html (265 words)

	NICS \| National Institute of Clinical Studies \| Projects (Site not responding. Last check: 2007-09-26)
		The British Thoracic Society guidelines for inserting a chest drain suggest positioning the tip apically for air and basally for fluid but admit that it doesn't matter, and it goes on to say that no chest drain should be repositioned solely because of its position.
		The Japanese study, which concluded that basal drains are better for draining effusions, is too flawed to consider seriously.
		The UK study was significantly better and did conclude that one drain inserted midway was as effective as the usual apical and basal drains for draining air and fluid.
	www.nicsl.com.au /projects_projects_detail.aspx?view=6&subpage=50&type=Normal (583 words)

	Can any intervention effectively reduce the pain associated with chest drain removal? -- Barnard et al. 3 (2): 229 -- ...
		use of the drains and prolonged immobilisation of the patient.
		Effects of interpleural bupivicaine on pleural chest tube removal pain: a randomized controlled trial.
		Isoflurane for the removal of chest drains after cardiac surgery.
	icvts.ctsnetjournals.org /cgi/content/full/3/2/229 (1049 words)

	Site of Pleural Drain Insertion and Early Postoperative Pulmonary Function Following Coronary Artery Bypass Grafting ...
		Chest, July 1, 2003; 124(1): 108 - 113.
		Chest, February 1, 2001; 119(2): 622 - 627.
		Chest, January 1, 2001; 119(1): 19 - 24.
	www.chestjournal.org /cgi/content/full/115/3/757 (1803 words)

	Drain cleaners (Site not responding. Last check: 2007-09-26)
		Poisoning from an ingestion or inhalation of drain cleaner.
		South Africa is to take steps to reverse the brain drain of African health professionals.
		Medics' leaders are calling on the UK to tackle the "poaching" of overseas health staff, at the G8 summit.
	www.medical-buzz.com /drain-cleaners,49188.html (117 words)

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