Tube_Thoracostomy_Module

Tube_Thoracostomy_Module - Tube Thoracostomy Module Vic V....

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Tube Thoracostomy Module Vic V. Vernenkar, D.O. Dept. of Surgery St. Barnabas Hospital
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Indications 1. Drainage of hemothorax, or large pleural effusion of any cause 2. Drainage of large pneumothorax (greater than 25%)
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Indications 3. Prophylactic placement of chest tubes in a patient with suspected chest trauma before transport to specialized trauma center 4. Flail chest segment requiring ventilator support, severe pulmonary contusion with effusion
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Contraindications 1. Infection over insertion site 2. Uncontrolled bleeding diathesis
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Materials 1. Chest tube; OR Fuhrman catheter 2. Chest tube suction unit (Pleurevac R ), tubing, wall suction hookup 3. Chest tube tray to include scalpel blade and handle, large Kelly clamps, needle driver, scissors 4. Packet of 0 or 1.0 silk suture on a curved needle
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Materials Tape, gauze 2% lidocaine with epinephrine, 20 cc syringe, 23-gauge needle for infiltration Sterile prep solution; Mask, gown and gloves
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Size Adult male 28-38F Adult Female 28F Child 18F Infant 12-14F
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This note was uploaded on 12/27/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Tube_Thoracostomy_Module - Tube Thoracostomy Module Vic V....

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