| Indications |
| Types |
| Pre-operative assessment |
| Pre-operative preparation |
| Post-operative care |
| Complications |
| Care of chest drain under water seal drainage system | |
| 1. | Explain on the importance of maintaining a proper functioning chest drainage system |
| 2. | Set up chest drainage system |
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Disposable chest drainage system
Three Bottle System
 |
The longer tube is under water-seal |
|
Suction force is maintained as prescribed (5kpa) |
|
No pulling or kinking of tubing |
|
Chest drainage bottle is kept below chest level |
|
All connections are properly connected and air-tight |
|
The drainage system is patent and swinging |
|
Any abnormality is reported promptly, e.g. chest drainage > 200/hr., disconnect of tubing, chest tube accidentally pulled/ slipped out, emphysema, empyema |
|
Keep chest drain site dry and change dressing PRN |
|
The amount and nature of drainage is recorded |
|
Avoid clamp chest tubes from which air leakage is detected |
|
Clamp and release chest drain and no suction force only for post-pneumonectomy patient |
|
Ensure air vent open to air after suction is discontinued |
|
Removal of chest tube if no air leakage or fluid output |