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Straightening out chest tubes: what size, what type, and when
Kamran Mahmood1, Momen M Wahidi
1Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, Duke University Medical Center, DUMC 102356, Durham, NC 27710, USA. k.mahmood@duke.edu
Abstract:
Although chest tube placement is one of the most common procedures in managing patients with pleural disease, it is not clear what size and type of chest tube is indicated for various conditions. Chest tubes can be divided into small- (≤14 French [Fr]) and large-bore (>14 Fr) and can be placed by blunt dissection, guidewire (Seldinger), or trocar guidance. Recently a trend has been seen toward using smaller chest tubes for most indications, given their relative ease and patient comfort. This article summarizes the rationale for using different chest tubes depending on the clinical scenario.
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