Tubos en t
KS Miller and SA Sahn Chest 1987;91;258-264
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CHEST is the official journal of the American College of Chest Physicians. It has been published monthly since 1935. Copyright 2007by the American College of Chest Physicians, 3300 Dundee Road, Northbrook IL 60062. All rights reserved. No part of this article or PDF may be reproduced or distributed without the prior written permission of the copyright holder (http://www.chestjournal.org/misc/reprints.shtml). ISSN: 0012-3692.
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review
Chest Tubes*
Indications,
K. Scott Miller,
Technique,
M.D.;t and
Management
Steven A. Sahn,
and Complications
M.D., FC.C.P1
O
tion,
yen the techniques
past
ten greatly. biopsy,
years,
the to the
spectrum pulmonary
of diagnostic physician with aspiraexemplify
the being
1860s,
developed into
a hypodermic the pleural
needlespace for
capable drainage
of
available
inserted
has expanded transbronchial and newly
Fiberoptic transbronchial laser
bronchoscopy needle
developed
applications
purposes. Playfair’ placed a drainage tube with an underwater seal in 1872, and Hewitt4 described closed tube drainage ofan empyema in 1876. Due to technical problems, until 1917 postinfluenzal tubesLilienthal thoracotomy acostomy place until the procedure was not employed widely when it was successfully epidemic empyemas.5 thoracic Although care used in
1922.6
one aspect of the explosion. biopsy and thoracoscopy are scope of invasive techniques pulmonologist. tients often monitoring the ing price complications, Present-day requires invasion and administration of this invasion particularlyPercutaneous needle examples of the wider now employed by the care of critically ill paof the chest of nutrients. vessels for However, incidence life-threatenof
used to drain The use of chest was reported by postregularly
in postoperative
is a definite a potentially
in World War II, for acute trauma did the Korean
OF
emergency not become
tube thorcommon-
complication, thorax).Traditionally, mothorax thoracic of invasive individuals competent management. elective
pneumothorax (hemopneumotube thoracostomy for pneuhas been handled by because of the increased by such the pulmonologist, procedures should principles placement, for the use those be of the
CHARACTERISTICS
CHEST
TUBES
or hemothorax surgeon. Today, procedures performing in
Modern their earlierplastic markers, of
chest tubes counterparts. varying multiple internal drainage
are
distinctly They are diameter, holes, and
different from made of clear with distance a radiopaque
tube thoracostomy and In addition to emergency for tube thoracostomy
indications
stripe, which outlines the proximal drainage hole. This addition permits better determination of appropriate tubeposition on a postplacement chest roentgenogram. They are pliable but Tube not supple enough can vary to kink from 20 or obstruct drainage. diameter
pulmonologist include thoracoscopy and pleurodesis of a symptomatic malignant pleural effusion. The purpose of this paper was to (1) review the historic development of tube thoracostomy; nique ofinsertion, drainage systems, (2) discuss techandmanagement
to 40 French (5 to II mm internal diameter) for adults, 6 to 26 French (2 to 6 mm) for children. The proximal end is slightly bevelled and tubing.
FOR CHEST TUBES
flared
to allow
ease
of
ofchest tubes; (3) examine individual components and their optimal characteristics; and (4) note the spectrum and incidence of complications associated with the procedure.
HISTORIC...
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