Inter costal drainage vaisakh

1. Vaisakh. G
I Year MSc. Nursing,
AIMS,kochi.

2. The external surface of the lungs are covered
by a thin, smooth serous membrane called the
VISCERAL PLEURA.
A similar membrane lines the thoracic cavity,
this contains nerve receptors to detect pain
called the PARIETAL PLEURA

4. A Chest tube or Intercostal drainage
is the insertion of flexible plastic tube
through the chest wall into the pleural
space or mediastinum to drain fluid or
air.

6. To overcome the accumulation of air or fluid in
the pleural cavity that might impair ventilation.
Pleural membranes have a vital role in ensuring
the lungs are expanded.
Therefore any disruption to the integrity of
these membranes or changes within the pleural
space,will compromise ventilation.

9. Adults - 20 Fr - 40Fr
Children - 6Fr – 26Fr

17. Observation
Pain control
Securing the drain

19. Refractory coagulopathy
Diaphramatic hernia
Hepatic hydrothorax
Pleural space adhesion

20. Position and fluid level
Suction
Changing dressing and
Bottle
Clamping

23. Drainage slows or stops
Accidental disconnection
Transporting patient
Changing the drainage device
Removing chest tubes


24. Chest tube malpositioning
Reexpansion pulmonary edema
Hypotention
Infection
Pneumonia
Shoulder disuse(frozen shoulder)