Chest Tube Drainage System part 1

all right so we're gonna talk about the chest to just kind of a quick intro how many of you have had chest tubes before you have a patient with a chest tube not you with a chest tube one okay so we have a couple different kinds of devices collection device we call them flora max mostly because the old brand was called flora Beck so just like nurses say hep-lock when there's no heparin in it we call this a pleura Mac even though that's the brand name and this is an atrium okay so you'll hear nurses calling it a pleura back there's wet and dry suction and you'll get to play with both in the lab next week they really are not any different except that wet suction you hear the bubbling and so as a nurse you feel like it's working the dry section there's no sound when you have the suction on and there should be pictures in your powerpoints or you can google chest tube dry suction and it'll have a big circle here and then when you have suction the little window fills with like a little red plastic thing and then you know you have suction and then you can turn it to whatever suction you want so that's dry suction but the mechanics and everything behind it are the same okay so you have to make sure you have sterile water not normal saline okay this part you do not have to keep I know we feel compelled to it's the do not do not use something if the seal is broken kind of a deal right so it is underneath they want to make sure you know it hasn't been touched the pleurovac when it comes out of the package it's gonna be wrapped and like the blue surgical stuff and there's usually a stand underneath it so it'll stand up and a lot of times we'll tape it to the floor so you don't knock it over what happens if you knock it over everything gets spilled and you got to get a new one so twenty more minutes of your time okay on the back all the - all this tubing is kind of tucked into this little bag and then there's a syringe that comes with it that someone has a little syringe it really doesn't matter you don't need this you can use it it's fun but you don't have to have it okay and then there's also hangers so you can hold these up and hang them on the bed okay so that's how that works on the front no matter what kind of pleurovac you have you're gonna have three sections okay so you're gonna have the suction chamber and most chest tubes are twenty centimetres of suction if it's not twenty or gravity you're gonna question it it shouldn't be fifteen it shouldn't be thirty if it's not twenty you're gonna go hey doc are you sure that's what you want okay I've seen it once I think in my whole career somebody ordered 15 it's either 20 or gravity okay and there's a line right here that says 20 if it's dry suction then there's the the circle window and there's a red line that points to 20 then you know you have 20 of suction okay there's a water seal chamber so think about if if we put a tube in someone's chest and the tube is just hanging out what's gonna happen with air where does the air go because we're negative pressure you're gonna suck the air in right we don't want to suck the air in think about a gunshot wound or a sucking chest wound things you've probably seen in the movies you can google and get all kinds of fantastic things online sucking chest wounds just to get a visual that if I have a hole in me I'm going to suck air in and then it's going to get in the pleural space I now have a pneumo and my lung is gonna collapse from all that air pressure okay so if I just have a tube sticking out and I don't I don't have it under something like underwater I'm gonna just suck air if I were to put it in the in this bottle and put it under water it's gonna then like be at equilibrium and nothing's gonna happen I'm not going to suck anything in there's air might blow out okay but that's how the water seal works so the water seal is this one in the middle and there's a little line here as well that shows two centimeters and that's the fill line there's also a big blue arrow some of them have a red arrow so you have to have that filled with sterile water at all times and that's so you don't bring air back into that pleural space okay the third area is the drainage area and that's where anything that's coming out of the patient through the tube is going to drip into here

Channel: Casey Scudmore: Doctor Professor Nurse

Views: 19,700

Keywords: Pleuravac, Chest tube

Id: GCi1ssT2JJ0

Length: 5min 33sec (333 seconds)

Published: Thu May 09 2019