The Basics of Chest Tube Management

For this lesson we are now past the foundational information on how chest tubes and breathing works as well as covering the different disorders of the pleural space. We now are focusing on the actual management of the patient with a chest tube. In this lesson I cover some of the important information from our assessment that we do for the patient, as well as the chest tube, its draining, dressing and the whole system. I also cover a couple of important topics to understand when I talk about the air leak and the tidaling that we can see, what they mean, and what we need to do, if anything. I also hit on the potential emergency situation where the tubing becomes disconnected as well is if the chest tube becomes dislodged or pulled out. This is a longer lesson with a lot of good information that will cover the nuts and bolts when it comes to the management of the patient with a chest tube.

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0:00 Intro
2:16 Assessment of Patient
3:25 Drainage
5:41 Dressing
7:23 Insertion Site
10:09 Position of CDU
10:30 Tidaling
12:47 Air Leak
17:04 Suction
18:05 Tubing
19:29 Sampling of Drainage
20:25 Dislodgment of CT
23:07 Maintenance
27:09 Wrap-up

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❗️❗️PLEASE NOTE: ICU Advantage medical videos, medical lectures, medical illustrations, and medical animations are for medical education and exam preparation purposes, and not intended to replace recommendations by your doctor or health care provider. The information is present here to give you a starting place to further look in to the proper treatments and recommendations for the care of your patient.

#ICUAdvantage #ChestTubes #Management

[ICUAdvantage]

Notes for this lesson (and all previous lessons) are availably only to YouTube and Patreon members. Links to join both here ⬇

[ajzepp]

Thank you for including complications. This is not only the best CT lesson Ive ever seen, but maybe the best educational video Ive ever seen. Excellent job!

[titilayooluyori]

All I can say is thank you! This is the best chest tube video out there.

[bigjosh]

Currently have a chest with this system attached, was looking for more information so I can be more proactive on my situation. Very helpful, thank you for explaining in detail.

[goharali]

Your lectures are not only comprehensive but also very easy to understand and memorise with practical examples.

[kenkunzelman]

What a great lesson! Thank you. You are very much appreciated, please keep up the thorough and detailed work. These videos have not only helped my confidence in the MICU but helped maintain integrity, save time and most likely save lives.

[kassiehowe]

Your channel is awesome! I went back to nursing after a 10 year break and these videos have helped tremendously!! Thank you so very much!!

[GuiFalked]

As a leaky spontaneous pneumothorax patient living in a rural location where it appears home care nurses aren't generally versed in management of said tubes I have to say thanks for such clearly detailed information on the steps involved in general care of the system.
Now to figure out how to keep the dogs out of my lap 😊

[andreawong]

Thank you, Eddie. Your teaching is so thorough and easily understood. It's live saving not only to patients but to everyone who listens to you.

[stevenr]

I love the examples of common issues that might happen and the interventions that need to be done(If…then). Keep up the great work.

[sarahlothspeich]

ER nurse educator here, I love your content!! Thanks for the video!

[greensahuaro]

Thanks for the thoroughness of the subject. Thanks for keeping it objective.

[ashsilos]

😂 my adhd had to pause the video and spend 20 minutes to figure out why "cm" was pronounced "sonometer". to find out it's actually centimeters but people started pronouncing it as sonometers because that's how the french say it or they just copied how everyone else around them say it. why does my brain go to things that are completely irrelevant?! But other than that... This was a great video. Thanks a lot.

[ExPookie]

As a med surg nurse on Respiratory floor this is the best lesson ever👏🏾👏🏾

[mirandahannah]

Coming to you live from my night float rotation in residency, got a question about an air leak from a nurse that I had to learn about. Great lesson, very helpful!

[DoeintheThicket]

Could you let me know what the procedure is for transporting a patient with a chest tube? For example, if/when/where to clamp for the trip and what to do if you’re taking them to an area (like a scan or procedure) where they are not set up to reestablish wall suction? Thank you. Adding pt transport considerations to these topics would be so helpful. ❤

[cassandregousse]

Great nuggets of wisdom in this lesson! Thanks for covering these topics! I’ve always wondered about milking the CTs vs. not doing so and Xeroform dressings vs. plain 4x4s. This was a great review!

[ghiix]

I’m a 3rd year Respiratory therapy student, i hope you can make a video of the Mechanical Ventilation basics and so on✨
Love your channel literally informative and great source👍🏻

[christalkong]

Very clear and concise lecture - amazing work!!! :)

[JessiBrat]

I recently had to have a chest tube inserted after I was stabbed in the lung and it calapssed. Having a chest tube is very painful while it's in! I was bed bound for 3 days afterwards. I had to be on morphine and oxycodone. I felt so much better after it was removed.