"Chest Tube Placement" by Chris Weldon for OPENPediatrics
Ғылым және технология
Learn about how to perform a chest tube placement.
Direct links to chapters:
0:00 Introduction
1:33 Chapter 1: Indications
1:50 Chapter 2: Contraindications
2:20 Chapter 3: Equipment
3:13 Chapter 4: Procedure
8:46 Chapter 5: Removal of Chest Tube
9:21 Chapter 6: Complications
9:43 Chapter 7: Assessment and Monitoring
10:09 Chapter 8: Documentation
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I had this done in 2007 after i was stabbed in the back three times resulting in a haemopnuemothorax. Words cannot explain how much this procedure hurts. Not just the insertion, but for hours afterwards i remember feeling phenomenal discomfort in my lungs, chest...everywhere. My whole body was just engulfed in excruciating pain despite the morphine. I couldn't sit up or lie down in any sort of comfort. I vaguely remember tears falling down my face and i was moaning. It was so bad it took my mind off the stinging wounds in my back. I was so traumatised, that three years later when i got pregnant to my partner ( not the same person who stabbed me, to be clear!!) I decided straight up to have a planned caesarean as i could not bear the thought of going through hours and hours of labour pain in case it was as bad or worse than the thoracostomy. I hope to God i never feel pain like that ever again. But im grateful to the excellent medical staff for saving my life. Thanks for reading my account of this procedure.
@carriefawcett9990
5 жыл бұрын
@Achiever Hub i was in hospital 4 days. My memory is sketchy but I'm sure it went in on the night i arrived and came out on the 4th day. Next time my ex rings me I'll confirm that and get back to you because he'll remember. But I'm pretty sure it was 4 days🙂.
@carriefawcett9990
5 жыл бұрын
@Achiever Hub i had blood and air ( haemopnuemothorax)
@carriefawcett9990
5 жыл бұрын
@Achiever Hub oh no, I'm so sorry to hear that😢did you have spontaneous pneumothorax or an injury? Have the drs told you why it is in for so long? Please feel better soon ♥️ and don't worry, it doesn't hurt coming out. You just have to hold your breath when they take it out. Then they'll stitch you up.
@franciscosmukalla6205
5 жыл бұрын
Did you ever have pain after the surgery? Its been a year since my procedure and i still have pain between my ribs. I just want to make sure its normal before i go and try to do Somthing about it. Thanks
@franciscosmukalla6205
5 жыл бұрын
Achiever Hub i was in the hospital for three weeks. Keep your chin up. Once this is over youll have a crazy story to tell. Also once the tube comes out the pain resolves so fast. Like all the weight is pulled up off your shoulders. Stay strong fam
Nursing student here. Thanks for giving me a sense of what my pt had. Reading about it leaves much out, your video was excellent!
Just a quick note: Always and I mean ALWAYS insert your finger and inspect digitally the thorax cavity! Adhesions are always a bad surprise, but putting the tube into the lungs or in the abdomen is a disaster.
@MrMateib
3 жыл бұрын
I wouldn't say always and always, because you may find yourself in the case of a costal comminutive fracture and you could insert your finger right into a sharp bone fragment or worse you could insert the fragment into the lung parenchyma
@aphiwokuhlemayongo3370
3 жыл бұрын
That was also my concern, you have to sweep with your finger before inserting the tube
Content was great & straight to the point!! Huge help with my studies!
I still remember the pain from this procedure. I had pneumonia and my lung collapsed. I remember about 10 people rushing in the room. They rolled me over and held me down. I did not receive any anesthesia and I can say this was definitely the most pain I have ever experienced in my life. Coughing while this tube was inserted was hell. Removal wasn't so painful
@franciscosmukalla6205
5 жыл бұрын
xHeroinx same. Mine was last year. The coughing once the tube was inserted was hell. But you gotta fight through it to re-inflate your lung.. I still have intercostal pain, do you have a similar problem? And how long ago was it?
@Twin1294
4 жыл бұрын
How long did you have it in before the removal?
@ershadsulaiman8778
4 жыл бұрын
Twin1294 me it is my 8days tomorrow and hopefully they could remove it on monday
@paddymahoney18
4 жыл бұрын
@@ershadsulaiman8778 I had the exact same thought on the same day as you, didn't happen for me but I got it out today.
@michellejaneoconnor6850
4 жыл бұрын
My son is only 18 and he had this procedure last night. It was such a painful procedure that i could hear him screaming in pain inside the operating room and i couldn't help but cry listening to my son in agony. He said he was given the anesthesia and the doctor said the same, but I'm just surprised how the patient still had to go through such pain.
This was amazing. Thank you. Content is just right.
It's really helpful , I am a nursing student and thanks to you I get to know about the demonstration of this procedure 😊
Chest tube installation is one of the most important operations we perform in an emergency if the lung stops working or there is a rib fracture that affects the efficiency of the lung function
I love everything about what I saw especially how the required steps information for the procedure was listed. I did observes my first case today. Thanks for adding up to my knowledge ❤❤❤🤝
Very nice. The anchoring suture is wrapped around the tube not also "through". Anchoring so that it is impossible for the tube to be accidentally advanced is extremely important to prevent infection.The tube is occluded during placement. As you pointed out, the instrument used for thoracostomy is passed over the inferior rib so as to avoid the intercostal vessels and nerve. Also the more anterior the placement, the more those structures are jeopardized. I would always apply an iodine ointment barrier at the puncture site before applying the dressing materials.
Gracias, excelente presentación, no actualiza en nuestra práctica profesional del día a día. gracias.
This was the most painful thing I've ever experienced. I had a significant amount of fluid that was impacting my heart and lungs. Pneumonia and blood clots were the cause for the mass build up of the fluid. Coughing while this is in, hurts like absolute hell! It caused some lung damage. It hurt when it was taken out too. My stomach felt like it was burning (possibly because it was empty.... I kept throwing up any time I ate something.) My shoulder and rib area felt like it was being ripped apart. I wouldn't wish this procedure on any one. To anyone who has had it recently, I hope your healing is going well. 💜
Great visuals, this makes the procedure easy to understand.
Very precise video & to the point , great work guys , thank you ! 😄
Just right and very helpful... Thank you so much for making such videos...🙂
RN student here and thank you for providing important information.
Content was straight to the point
Very nice and comprehensive demonstration. Thank you so much 😊💕.
One of the Best educational videos🖒
Smaller bore tube thoracostomy via a Seldinger technique is far less traumatic and/or painful. Most fluid collections/air drain effectively unless a very thick pus as in empyema is present. This technique also allows for pre-insertion aspiration to confirm presence and location of effusion.
a very good presentation, I would like to see it on a real patient, thank you.
@KishanKumar-xe3uv
2 жыл бұрын
You got that bro
Animation is the best part of your video,thanks
yeah i had pneumothorax about 5 times myself back to back but thankfully my last surgery seems to have fixed it for good the surgery was always painful and waiting in the hopsital with a tube in your chest was painful too thankfully i havent had it anymore and it seemingly fixed for good
Very simple and easy way of presentation.Good.
Very informative, thank you for nice and helpful demonstration
Great video as well, At least it gave me a clear visual of what the procedure should look like.
I had necrotizing pancreatitis and developed severe fluid build up. I had a large aspiration incident of around 2 liters into my lungs. I developed ARDS and was eventually put onto ECMO. After surviving severe sepsis, ARDS, abdominal compartment syndrome and 2 codes I was sent to ICU and they put a chest tube in. The pain was intense but nothing like pancreatitis itself.
I love your videos-!!!
The length of the video is just right👌
Amazing demonstration
Thank you. The content is just right.
Excellent video. Thanks.
I had this as 12 years old- thankfully I was not awake for this process. I do remember that it was painful during my recovery- I ended being allergic to the suture itself- I scratched on the tube, it fell put, had to reinsert it with different suture then I was fully done with the tube.
I have been watching this while having dinner. This is awesome.
@KishanKumar-xe3uv
2 жыл бұрын
You are real savage bro
This video is great, everything is clear 😍 thank you so much 🙏🏼
@abkareem3772
6 жыл бұрын
Entessar إنتصار
Thank you for sharing the good content, however, me being a learner i could only say it was helpful and easy to understand. Thank you.
Very good explained, thanks a lot
where possible it is advisable to have patient hooked up to cardiac monitor during this procedure.
It was great video for student nurses to understand. Thanks
Thankyou for animated video and explaining in detail...it was much easy to understand through your video than reading from the book. Keep up the good work. Love from PAKISTANI MBBS student! 🇵🇰
why no sutures after removal of suction tube, some gauze and tape after my procedure?
great demonstration, thank you very much. :)
It's very well demonstrated🙏
Thanks for such a beautiful video. Very understandable 😍
Great video! Thanks. Thanks for what you guys do.
@imambakhsh5963
6 жыл бұрын
Suburban Preparedness qreeta
@imambakhsh5963
6 жыл бұрын
qreeta
good tutorial.... easy to understand, appropriate length
Fantastic videos
thanks you, the content is simple
It's very important. Thank you
I like everything Everything is perfect Thank you so much
Very good and informative
Many thanks for the post.
Im here rn with a chest tube in the hospital ongoing for 3 days prayers for me thou 🙏🏽
Totally complete video...👍
It is very very good for understand. & thank you
I had this a month ago i still feel the pain by the tube but i am recovering now please take care of your lungs i swear you will not want that to be inserted in your body for as long a a month
Great video 🖤
Nice demonstration
Great video👌
How do you know it's in the pleural space. How do you prevent it from entering lung
Do you worry about damaging the long thoracic nerve when dissecting?
It’s a very nice and informative video 😊
I have a tiny scar on my side even after 11 years. I Anahi had 4 tummy drainage tubes (2 on each side)
Perfect summary
thanks a lot . it was very helpful
Thank You
Love it thanks
What should be the depth if incision and chest tube inserted to avoid lung injury????
This is Soo helpful for my upcoming exams
to all the nursing students on here, i am a recovering addict. had to get this procedure done due to trauma on the lungs. i ended up almost dead because the emergency room doctor in my small town would no longer listen to me as a human being he just assumed i wanted pain meds because i was an addict in the er. i went once a week and kept getting misdianosed until one day i got lucky and got a different doctor. she was my saving grace. my lungs were filled with fluid. my oxygen levels were so low i was on the highest amount of oxygen they could give me. i was rushed to another hospital and was immediately prepped for surgery. i was on a morphine pump norcos tramadol. it didnt touch the pain. unfortunaely for me i had to take dilauded instead of the morhine because i was still in so much pain after the surgery. it was the worst time in my life. the moment they took out my chest tubes they took me off all pain meds besides norco and tramadol. i was to go home with both. before i left the doctor told me they didnt feel comfotable giving me vicodin because they didnt want me to relapse. mind you i had not been weaned. two minutes before i walked out the door the doctor took the script of norco and said all i could have was tramadol. i was in so much pain i couldnt walk. i used a walker for a month. anyways i went to the pharmacy and went to fill my script. the doctor cacelled the tramadol too and left me with nothing. i understand i was an addict, but i couldnt even feel a vicodin because my tolerance was so high. so basically the hospital kept me doped up and let me leave to go home and suffer. the pain was so bad i didnt sleep for a week straight. i had to sleep sitting up. if i got any. i cried on the way hoime to my mom and told her i didnt want to get high anymore. i really didnt. but i had no choice but to go out and buy heroin because the pain was unbearable, not to mention the pain from the opiod withdrawls was just beginning. i tried to make it thru the night but the tykeonal and ibuprofen did nothing. the heroin relived alot of thet pain but i had to use a lot and frequently just to be able to properly function. the next day i had decided i had had enough i didnt want to use and i hated the hopsital for not having a heart and making me suffer so. i take responsibilty but id rather give birth over and over again than ever have to go through that again. i tried to take my life the next night. i didnt have a job i didnt want to be a junkie anymore and the pain was so unbearable i culdnt take it. addicts are humans. yes we should feel some pain as a reminder so we dont make that choice again. we should feel a little something. but everything. i have severe ptsd and i hate going to emergency rooms. please remember we are humans just like you. please have a little compassion the next time u treat an addict. I am so glad i am alive. that was 6 years ago. i am a year clean and in college to be a Recovery Support Specialist. There is hope.
@princexxprice8348
Жыл бұрын
Hello, I just wanted to post that I hear you ! Kudos to you ! All the best
@sarahsalsa2461
11 ай бұрын
I hope you are doing much better now! 💙
Any other sight of chest tube apart from using nipple as land mark
Nice video amd simple to understand
Good presentation
Thanks for the video❤️ Please make more Videos.
Thank you so much.
I love it😍😍 thanks😘😘😘
thank you so much
I had three chest tubes going it has been three weeks after i got discharge and it still pretty hard go walk and to breath , im feeling better now but i feel like this is going yo take a real long time to heal a 100%
@carriefawcett9990
5 жыл бұрын
What happened to you? I had a left side haemopnuemothorax after being stabbed three times in the back. The thoracostomy insertion was the worst agony I've ever felt in my entire life. For hours afterwards mt lungs and chest felt like they were on fire. I couldnt get comfortable. I had as much morphine as they could give me but was still in pain and high level of discomfort. It's the second- worst thing to ever happen to me, the stabbing was the worst..but the chest tube hurt more. How did you find it?
I would have liked to have seen the nurses role in the procedure and the care during the period of time the chest tube is in.
Very helpful thank you
thank you very much
It was a very nice video.
Mine was so painful. They push the tube al the way in near to may collar bone til the tube bend to my shoulder. It hurts so much. My lungs was impaled.
Very good nd easy way to explain
THANK YOU
Good explanation
clamp before placement?
thank you 🙏💚
Very good thanks
While performing this,we should give local anaesthesia on a chest site of a pateint or not?
Really it's good lectures
Good, keep going on
thank you
Excellent!
it's amazing i understood
I had two tubes on my left and one on the right. The most agonizing pain of my life!
@NehaMangla-yr6zx
4 жыл бұрын
Hi
@NehaMangla-yr6zx
4 жыл бұрын
My father is on dailisys for 2 years Now he is having water in chest Doctor recommend permanant chest tube Is this ok Or dangerous
@NehaMangla-yr6zx
4 жыл бұрын
Plz reply
@targobundy4291
4 жыл бұрын
are there other alternatives?
@stormsmith6772
3 жыл бұрын
Did they give you anything for the pain?
شكراً ♥️😊
I just had mine removed today!! 💜💜
Sterilization and anesthesia at incision site not demonstrated, please add it vedio
GOD BLESS YOU!