PDF Diploma in Clinical Medicine and Surgery

Underwater Seal Drainage: Chest Tube Indications, Insertion Technique, Drain Care and Complications

A surgical nursing lecture on underwater seal drainage for excess fluid or air in the intrapleural space. It gives the functions of the system and the other uses of a chest tube, the properties of a good drain including the radio-opaque line and the graduated markings, the insertion sites for a pneumothorax at the second or third intercostal space and for an effusion at the fourth to sixth, and the step-by-step insertion procedure with the materials needed. It closes on drain and system care, the observations to record, removal, and the complications to watch for.

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