Intercostal drainage (ICD)-Tube thoracotomy

Intercostal drainage (ICD)-Tube thoracotomy

Tube thoracotomy- Aminimally invasive procedure where a thin plastic tube is inserted into the pleural space to remove excess space, fluid & other particles. With the support of ultrasound, fluoroscopy or computed tomography, a thin tube is places into the chest allowing the lungs to function effectively. Apart from removing the excess fluid, tube thoracotomy aids to delivering medication into the pleural space.

How tube thoracotomy is performed?

 

The doctor elevates the head of the patients’ bed by 30 – 60 degree and identifies the tube insertion site.

Usually the tube thoracotomy is performed under general anesthesia to numb the site. Following anaesthesia the doctor checks for the right area by inserting the needle deeply and makes an incision about 2 – 3 cm

Using a surgical instrument named Kelly clamp, the area is widened slowly to gain the access of pleural space allowing the doctor to check for scar or mass tissue

Through the incision site, doctor inserts the chest tube. Draining of excess fluid through the tube confirms the proper insertion of chest tube, if not the tube might be subjected to repositioning.

Tubes are sutures at place allowing the seal to be airtight as possible. The incision site is then covered with the gauze pads. Once the procedure is completed, patient is examined for chest X- ray to confirm the tube placement

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