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Review
. 2014 Oct;6(Suppl 4):S470-9.
doi: 10.3978/j.issn.2072-1439.2014.09.23.

Tube thoracostomy; chest tube implantation and follow up

Ivan Kuhajda  1 , Konstantinos Zarogoulidis  1 , Ioanna Kougioumtzi  1 , Haidong Huang  1 , Qiang Li  1 , Georgios Dryllis  1 , Ioannis Kioumis  1 , Georgia Pitsiou  1 , Nikolaos Machairiotis  1 , Nikolaos Katsikogiannis  1 , Antonis Papaiwannou  1 , Sofia Lampaki  1 , Antonis Papaiwannou  1 , Bojan Zaric  1 , Perin Branislav  1 , Konstantinos Porpodis  1 , Paul Zarogoulidis  1
Affiliations
Review

Tube thoracostomy; chest tube implantation and follow up

Ivan Kuhajda et al. J Thorac Dis. 2014 Oct.

Abstract

Pneumothorax is an urgent medical situation that requires urgent treatment. We can divide this entity based on the etiology to primary and secondary. Chest tube implantation can be performed either in the upper chest wall or lower. Both thoracic surgeons and pulmonary physicians can place a chest tube with minimal invasive techniques. In our current work, we will demonstrate chest tube implantation to locations, methodology and tools.

Keywords: Chest tube; medical thoracoscopy; pneumothorax.

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Figures

Figure 1
Figure 1
Local anaesthetic infiltration for apical chest tube insertion.
Figure 2
Figure 2
Trocar insertion.
Figure 3
Figure 3
Chest tube insertion.
Figure 4
Figure 4
Position of chest tube.
Figure 5
Figure 5
Connection of chest tube to water seal system.
Figure 6
Figure 6
The end of the procedure.
Figure 7
Figure 7
Lateral decubitus position for chest tube insertion.
Figure 8
Figure 8
Local anaesthetic infiltration for lateral decubitus position.
Figure 9
Figure 9
Skin incision and blunt dissection with clamp.
Figure 10
Figure 10
Trocar placement.
Figure 11
Figure 11
Chest tube insertion through trocar.
Figure 12
Figure 12
Chest tube position.
Figure 13
Figure 13
Suture for chest tube.
Figure 14
Figure 14
Suture for chest tube 2.
Figure 15
Figure 15
At the end of the procedure.
Figure 16
Figure 16
Tube insertion.
Figure 17
Figure 17
Water seal system/bottle for unidirectional drainage.
Figure 18
Figure 18
Heimlich valve (one-way valve).
Figure 19
Figure 19
Equipment for chest tube insertion.
Figure 20
Figure 20
Triangle of safety.
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