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ACoRN © 2005ACoRN © 2005
Pneumothorax Pneumothorax DrainageDrainage
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
• Acute deterioration is commonAcute deterioration is common• Deviation of apex may be detectable if Deviation of apex may be detectable if
large pneumothorax large pneumothorax
• Breath sounds may be unequalBreath sounds may be unequal• Asymmetry of chest rareAsymmetry of chest rare• Tracheal deviation cannot be clinically Tracheal deviation cannot be clinically
noted (the neck is too short)noted (the neck is too short)
Pneumothorax: Clinical signs Pneumothorax: Clinical signs
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Chest transilluminationChest transillumination
• To attempt to detect a pneumothorax at To attempt to detect a pneumothorax at the bedside while awaiting for a chest the bedside while awaiting for a chest radiographradiograph
• AfterAfter ruling out mechanical causes such ruling out mechanical causes such as equipment malfunction, obstructed as equipment malfunction, obstructed airway or ETT, or displaced ETTairway or ETT, or displaced ETT
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
• Needle aspirationNeedle aspiration– Emergency onlyEmergency only– Can be diagnostic if no X-ray immediately Can be diagnostic if no X-ray immediately
availableavailable– Not for permanent drainageNot for permanent drainage
• Chest tube placement Chest tube placement – Infrequently used skillInfrequently used skill– May be done more safely if chest has not May be done more safely if chest has not
been previously needled been previously needled
Pneumothorax drainagePneumothorax drainage
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Needle aspirationNeedle aspiration
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Chest tube insertionChest tube insertion
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
• Before Before preparing preparing your your equipment, equipment, what should what should you consider?you consider?
• HINT (does HINT (does the procedure the procedure hurt?)hurt?)
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Insertion of chest tubeInsertion of chest tube
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
ACoRN © 2005ACoRN © 2005
Chest Tube Chest Tube Drainage SystemsDrainage Systems
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Flutter valveFlutter valve
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Underwater drainageUnderwater drainage
Collection Collection chamberchamber
Suction Suction pressurepressure
Underwater Underwater sealseal
Patient endPatient end
Wall suctionWall suction
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Pleur-evacPleur-evac
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Vacuum regulatorsVacuum regulators
Nov 2007Nov 2007 ACoRN © 2005-07ACoRN © 2005-07
Questions?Questions?