Presentation1

Tube thoracostomy drains blood or fluid through a one-way valve, reexpanding the lung.

Insertion site is the 7th intercostals space in the mid clavicular line.

Insert a chest tube with perforations at one end and a one-way valve at the other.

Inject local anesthetic into the skin and deeper tissues.

Make a 1-inch incision directly over the rib.

Use a hemostat to spread the tissues down to the rib, then just over the rib and into the pleural space.

After you've penetrated the pleural space, use the hemostat to grab the tip of the chest tube and push it into the space

Suture the incision closed and tie the chest tube in place.

Place a layer of Vaseline gauze over the wound.

Then place dry dressings over the Vaseline, and adhesive tape the everything in place.