Allow air and fluid to leave the chest – achieved by gravity drainage Prevent air and fluid from returning – achieved through the use of a one-way valve Restore negative pressure in the pleural space to re-expand the lung – achieved through the use...
No evidence that either small or large bore drains therapeutically superior Small-bore drains are recommended as they are more comfortable than larger bore tubes Remains intense debate about the optimum size of drainage catheter Pneumothorax Small bore drains usually...
Small Bore Tubes Medium Bore Tubes Large Bore Tubes 8-14 Fr 16-24 Fr >24 Fr Usually inserted via SeldingerDo not require blunt dissectionBetter tolerated by patientsProvide better sealHave been successfully used for pneumothorax, effusions or empyemaNarrow lumen...
Usually supportive care as condition is often self-limiting Oxygen and invasive ventilation may be necessary If unilateral oedema positioning with the affected side up can reduce shunting and improve...
Young age (<40 years) Lung collapse for >3 days Large pneumothorax (>30% of the single lung) Application of negative pressure suction Rapid lung re-expansion Recognize those at high risk Limiting the rate of fluid drainage (BTS guidance): No more than 500ml...
