inter costal drainage vaisakh
TRANSCRIPT
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Vaisakh. GI Year MSc. Nursing,AIMS,kochi.
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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
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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.
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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.
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Adults - 20 Fr - 40FrChildren - 6Fr – 26Fr
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Observation
Pain control
Securing the drain
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Refractory coagulopathy Diaphramatic hernia Hepatic hydrothorax Pleural space adhesion
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Position and fluid levelSuctionChanging dressing and Bottle
Clamping
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Drainage slows or stops
Accidental disconnection
Transporting patient
Changing the drainage device
Removing chest tubes
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Chest tube malpositioning
Reexpansion pulmonary edema
Hypotention
Infection
Pneumonia
Shoulder disuse(frozen shoulder)
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