Thoracostomy Tube Insertion Procedure

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Questions and Answers

What is administered to the area of insertion?

  • Local anesthesia (correct)
  • A 2-cm incision
  • A Kelly clamp
  • A controlled negative pressure suction

What direction is the tube inserted for a pneumothorax?

  • Apically and anteriorly (correct)
  • Superiorly and posteriorly
  • Medially and posteriorly
  • Laterally and anteriorly

What is connected to the container?

  • Local anesthesia
  • A 2-cm incision
  • A Kelly clamp
  • A controlled negative pressure suction (correct)

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Study Notes

  • If the patient is not otherwise sedated, local anesthesia (1% lidocaine) is administered to the area of insertion.
  • A 2-cm incision is made over the rib and a subcutaneous tunnel is created.
  • The pleural space is entered using a Kelly clamp and the tube is inserted apically and anteriorly for a pneumothorax or superiorly and posteriorly for a hemothorax or pleural effusion.
  • The tube is secured to the skin of the chest wall and the container is connected to a controlled negative pressure suction.

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