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Intercostal Chest Drain Insertion (Tube Thoracostomy)


Tube thoracostomy is the insertion of a tube (chest tube) into the pleural cavity to drain air, blood, bile, pus, or other fluids.

Indications

  • Pneumothorax : Open or closed; simple or tension
  • Hemothorax
  • Hemopneumothorax
  • Hydrothorax
  • Chylothorax
  • Empyema
  • Pleural effusion
  • Palliation of breathlessness in malignant pleural effusions
  • To facilitate pleurodesis

Contraindications
  • The need for emergent thoracotomy is an absolute contraindication to tube thoracostomy.
  • Relative contraindications include the following:
  • Coagulopathy
  • Pulmonary bullae
  • Pulmonary, pleural, or thoracic adhesions
  • Loculated pleural effusion or empyema
  • Skin infection over the chest tube insertion site
During a chest tube insertion, the doctor must work around several major organs, including the lungs and heart. Potential complications include:
  • excessive bleeding
  • infection
  • injuries to the heart, blood vessels, arteries, or lungs
  • perforation (puncturing) of the diaphragm
  • punctured lung
A doctor should carefully explain these risks to the individual before the procedure. Ideally, they will avoid putting a chest tube in someone who is taking blood thinners due to the risk of bleeding. However, inserting the chest tube can sometimes be a life-saving, emergency procedure.

Chest Tube Removal
Doctors remove chest tubes when they are no longer necessary, for example when the tube is no longer draining blood or fluid.

They will also remove the tube if it becomes blocked or is not working correctly.

Recovery
Ideally, a person’s symptoms will improve following the use of a chest tube.

People should monitor the incision site for signs of infection while it heals, and inform their doctor as soon as possible if the wound swells, turns red, or starts oozing pus. It is likely that a small scar will remain at the insertion site.

Outlook
A chest tube can be a relatively non-invasive way to access the pleural space to drain fluid or administer medication.

Sometimes, if the chest tube does not resolve a person’s problem, they may need more invasive surgery.

After chest tube removal, a person should follow a doctor’s recommendations on how to care for the incision site.


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Kolony Clinic is a subspecialty of internal medicine that deals with diseases of the lungs and the bronchial tubes, usually involving the evaluation of the upper respiratory tract (nose, pharynx and throat). This field is also known as chest medicine or respiratory medicine. The Clinic of Pulmonology is closely related to intensive care medicine, as it deals with patients requiring mechanical ventilation.

The clinic offers the best of technology and working environment to ensure the highest standards of patient care. Kolony Clinic has outstanding medical professionals with proven medical expertise in the field of pulmonary medicine and advanced respiratory care, capable of performing complex diagnostic and therapeutic procedures. The clinic offers expertise in diagnosis and management of diseases such as asthma, cystic fibrosis, chronic obstructive pulmonary disease (COPD), lung cancer, occupational respiratory diseases, Mycobacterium Avium Complex (MAC) lung disease, pulmonary fibrosis and sleep disorders. 

Dr. Dhaval Darji (MBBS DTDC) is one of the immensely experienced Pulmonologist and specialists in Pulmonary Medicine from Ahmedabad.


 

AREA OF EXPERTISE:

  • Asthma
  • Severe Asthma with Fungal sensitisation
  • Bronchiectasis
  • Bronchitis
  • Chronic Cough clinic(state of the art)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Common Cold
  • Idiopathic Pulmonary Fibrosis
  • Pneumonia
  • Sleep Apnea
  • Spirometry
  • Tuberculosis
  • Work-Related Asthma
  • Allergy

 
KOLONY CLINIC
15-16, Vishwamitra Complex,
Opp. Kalupur Commercial Bank,
Nr. Sardar Patel Colony,
Stadium Road, Ahmedabad-14.
 
DR. DHAVAL DARJI
(MBBS DTCD)
 
 
Call for appointment: +91 94296 14760, +91 97224 82392




Source :  by KOLONY CLINIC, Stadium Road, Ahmedabad.

Disclaimer : This tool does not provide medical advice. It is intended for informational purposes only. It is not a substitute for professional medical advice, diagnosis or treatment. The content of these article if for information only, Information is gathered and shared from reputable sources; however, Ahmedabad Medical Guide is not responsible for errors or omissions in reporting or explanation. No individuals, including those under our active care, should use the information, resource or tools contained within to self-diagnosis or self-treat any health-related condition. Ahmedabad Medical Guide gives no assurance or warranty regarding the accuracy, timeliness or applicability or the content.

Publisher : Ahmedabad Medical Guide (P. R. Communication)  (www.ahmedabadbiz.blogspot.com, www.ahmedabadmedicalguide.blogspot.com)



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