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Related Concept Videos

Tube Thoracostomy10:56

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Source: Rachel Liu, BAO, MBBCh, Emergency Medicine, Yale School of Medicine, New Haven, Connecticut, USA
Tube thoracostomy (chest tube placement) is a procedure during which a hollow tube is inserted into the thoracic cavity for drainage of fluid or air. Emergency chest tube insertion is performed for definitive treatment of tension pneumothorax, traumatic hemothorax, large-volume pleural effusions, and empyemas.
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Overview of Flail Chest
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Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
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Related Experiment Video

Updated: Jan 19, 2026

Tube Thoracostomy: Chest Tube Placement Procedure
10:56

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Published on: April 30, 2023

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Chest Tube Drainage Devices.

Jennifer W Toth1, Michael F Reed2, Lauren K Ventola1

  • 1Division of Pulmonary, Allergy, and Critical Care Medicine, Department of Medicine, Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania.

Seminars in Respiratory and Critical Care Medicine
|September 17, 2019
PubMed
Summary

Chest tube drainage systems manage intrapleural fluid and air. Digital systems offer precise air leak and pressure quantification, improving patient care compared to subjective methods.

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Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Medical Devices

Background:

  • Chest tubes are essential for draining intrapleural fluid and air.
  • Various drainage systems exist, including compartment devices, Heimlich valves, digital systems, and vacuum bottles.
  • Traditional three-compartment systems have limitations in quantifying air leaks due to subjectivity.

Purpose of the Study:

  • To review the design and functionality of different chest tube drainage systems.
  • To highlight the advantages of digital pleural drainage systems.
  • To guide the selection of appropriate drainage strategies based on patient needs.

Main Methods:

  • Review of current chest tube drainage technologies.
  • Comparison of functional characteristics of different drainage systems.
  • Discussion of applications in various pleural conditions.

Main Results:

  • Three-compartment systems allow adjustable suction or water seal but have subjective air leak meters.
  • Digital pleural drainage systems provide objective quantification of air leaks and pleural pressure.
  • Indwelling pleural catheters for malignant effusions can utilize vacuum bottles.

Conclusions:

  • Understanding chest tube drainage system design is crucial for effective patient management.
  • Digital systems offer superior objective data compared to traditional methods.
  • Selecting the right drainage strategy balances clinical needs with cost-effectiveness.