M.D. (Chest Medicine), ISCCM, FCCS, Consultant Physician, Critical Care (ICU), Specialist & Interventional Pulmonologist Dr Prem Maurya is a leading chest physician in Bhandup and Mulund. He expertises in ailments such as TB, Covid and post Covid care, ILD, Allergy disorder, Sleep disorder & Infectious diseases. He is well experienced in advance bronchoscopies and is critical care expert.
A chest tube can help drain air, blood, or fluid from the space surrounding your lungs, called the pleural space.
Chest tube insertion is also referred to as chest tube thoracostomy. It’s typically an emergency procedure. It may also be done after surgery on organs or tissues in your chest cavity.
During chest tube insertion, a hollow plastic tube is inserted between your ribs into the pleural space. The tube may be connected to a machine to help with the drainage. The tube will stay in place until the fluid, blood, or air is drained from your chest.
What it’s used for
You may need a chest tube if you have any of the following:
A collapsed lung
A lung infection
Bleeding around your lung, especially after a trauma (such as a car accident)
Fluid buildup due to another medical condition, such as cancer or pneumonia
Breathing difficulty due to a buildup of fluid or air
Surgery, especially lung, heart, or esophageal surgery
Procedure
Preparation: Your doctor will prepare a large area on the side of your chest, from your armpit down to your abdomen and across to your nipple. Preparation involves sterilizing the area and shaving any hair from the insertion site, if necessary. Your doctor may use an ultrasound to identify a good location for inserting the tube.
Anesthesia: The doctor may inject an anesthetic into your skin or vein to numb the area. The medication will help make you more comfortable during the chest tube insertion, which can be painful. If you’re having major heart or lung surgery, you’ll likely be given general anesthesia and be put to sleep before the chest tube is inserted.
Incision: Using a scalpel, your doctor will make a small (¼- to 1 ½-inch) incision between your ribs, near the upper part of your chest. Where they make the incision depends on the reason for the chest tube.
Insertion: Your doctor will then gently open a space into your chest cavity and guide the tube into your chest. Chest tubes come in various sizes for different conditions. Your doctor will stitch the chest tube in place to prevent it from moving. A sterile bandage will be applied over the insertion site.