![]() More severe complications are reported in fewer than 5 out of every 100 chest tube placement procedures. The potential complications arising from a chest tube procedure include infection, bleeding, or the misplacement of the tube. For this reason, we strongly advocate the use of moderate-to-deep procedural sedation for all non-emergent chest tube insertions. Unfortunately, in some cases patients have reported experiencing significant pain during a chest tube procedure. Psychologically, patients can feel very vulnerable at the thought of an invasive procedure in the chest and side area. Then, one of several agents (talc, bleomycin, or tetracycline) can be placed through the chest tube into the pleural space causing an inflammatory process that seals up this potential space ideally preventing further fluid to re-accumulate.Ĭhest tube placement frequently causes anxiety or fear in patients and can be quite painful without adequate pre-medication. During this procedure, a chest tube first drains all of the fluid that has collected in the pleural space. After both open heart surgery and lung resection surgery, chest tubes are routinely left in place to drain any residual fluid that collects in the space around the left lung.įinally, chest tube placement, or tube thoracostomy, can be utilized to perform a chemical pleurodesis usually in the setting of cancer-related pleural effusions. You can learn more about the process for treating breathing issues by visiting our Needle Decompression Course page and our Tube Thoracostomy Course page.Īnother application for chest tube placement that many patients and medical students may be unaware of is its use after heart or lung surgery. Suction is then applied to the chest tube so that the air in the pleural space can be sucked out allowing the collapsed lung to re-expand. ![]() In this case, a physician inserts a chest tube between the patient’s ribs until it is in the pleural space adjacent to the collapsed lung. ![]() One common use for chest tube placement (or tube thoracostomy) is in cases where a patient has a collapsed lung. Chest tube placement is a medical procedure which a physician or advanced practice provider may choose to perform for a variety of reasons.
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