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Chest tube insertion

Chest tube insertion
Chest tube insertion  - series

Definition

A chest tube is a hollow, flexible tube placed into the chest. It acts as a drain.

Alternative Names

Chest drainage tube insertion; Insertion of tube into chest; Tube thoracostomy; Pericardial drain

Description

When your chest tube is inserted, you will lie on your side or sit partly upright, with one arm over your head.

After your chest tube insertion, you will have a chest x-ray to make sure the tube is in the right place.

The chest tube most often stays in place until x-rays show that all the blood, fluid, or air has drained from your chest and your lung has fully re-expanded.

The tube is easy to remove when it is no longer needed.

Some people may have a chest tube inserted that is guided by x-ray, computerized tomography (CT), or ultrasound. If you have major lung or heart surgery, a chest tube will be placed while you are under general anesthesia (asleep) during your surgery.

Why the Procedure Is Performed

Chest tubes are used to treat conditions that cause a lung to collapse. Some of these conditions are:

Risks

Some risks from the insertion procedure are:

After the Procedure

You will most likely stay in the hospital until your chest tube is removed. In some cases, a person may go home with a chest tube.

While the chest tube is in place, your health care provider will carefully check for air leaks, breathing problems, and if you need oxygen. They will also make sure the tube stays in place. Your provider will tell you whether it is OK to get up and walk around or sit in a chair.

What you will need to do:

Get help right away if:

Outlook (Prognosis)

The outlook depends on the reason a chest tube is inserted. Pneumothorax most often improves, but sometimes surgery is needed to correct the underlying problem. This may be performed through a scope or may require a large incision depending on your underlying condition. In cases of infection, the person improves when the infection is treated, although scarring of the lining of the lung can sometimes occur (fibrothorax). This may require surgery to correct the problem.

References

Kirsch TD, Sax J. Tube thoracostomy. In: Roberts JR, ed. Roberts and Hedges' Clinical Procedures in Emergency Medicine. 6th ed. Philadelphia, PA: Elsevier Saunders; 2014:chap 10.

Light RW, Lee YCG. Pneumothorax, chylothorax, hemothorax, and fibrothorax. In: Broaddus VC, Mason RJ, Ernst JD, et.al, eds. Murray and Nadel's Textbook of Respiratory Medicine. 6th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 81.

Watson GA, Harbrecht BG. Chest tube placement, care, and removal. In: Vincent J-L, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Textbook of Critical Care. 7th ed. Philadelphia, PA: Elsevier; 2017:chap E12.


Review Date: 4/12/2017
Reviewed By: Mary C. Mancini, MD, PhD, Department of Surgery, Louisiana State University Health Sciences Center-Shreveport, Shreveport, LA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.