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Doctor insights on: Ultrasound Guided Thoracentesis With Chest Tube Placement

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Does it hurt when you remove a chest tube?

Does it hurt when you remove a chest tube?

Not much: Much, much less then when it went in. There will be some discomfort, very little if any pain. ...Read more

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Dr. Michael Gabor
2,190 doctors shared insights

Sonogram (Definition)

An ultraound, also known as a sonogram, is a painless and relatively inexpensive imaging test that utilizes sound waves instead of ionizing radiation. There are no side effects. Ultrasound can give us two-dimensional, and in some applications three-dimensional, images of structures and organs in virtually any part of the body. In addition to diagnostic uses, such as evaluating abnormalities in the abdomen, pelvis, and breast, ultrasounds are commonly used to guide needle and catheter placement in a variety of surgical ...Read more


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When should a chest tube be removed during the ventillatory cycle?

When should a chest tube be removed during the ventillatory cycle?

At end inspiration : The patient should fully inspire to the point he/she is unable to breath in any more. Therefore, there is little risk for sucking air into the chest cavity during removal. Some people teach removal while exhaling (this creates positive pressure in chest). The risk here is that it is natural to breath in when experiencing pain. Thus, patient has more risk because he/she can suddenly suck air in. ...Read more

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Is it true that chest tube therapy is considered a minor operation?

Is it true that chest tube therapy is considered a minor operation?

Yes: It's a procedure done under local anesthesia, sometimes with sedation. There are 2 types. One is done in hospital and requires an inpatient stay. The tube is connected to an external drain system and removed after a few days. The other is a tunneled tube that is placed as an outpatient and is accessed for drainage periodically. Which one depends on multiple factors, most important why it's placed. ...Read more

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I have colapsed lung with chest tube. If i chose to remove tube and lung isnt inflated what will thr consquences be?

I have colapsed lung with chest tube. If i chose to remove tube and lung isnt inflated what will thr consquences be?

Pneumothorax: A chest tube is placed when the lung has collapsed. It allows the lung to re-expand. The chest tube is removed when there is no evidence of a "leak" which would imply that the lung may collapse again if the tube is removed. You should let your medical team decide when the time is right to remove the tube. If it removed too soon it may create a life threatening emergency. ...Read more

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Will the doctor put me to sleep if I need a chest tube inserted?

Will the doctor put me to sleep if I need a chest tube inserted?

Depends: If this is an emergent need for a chest tube usually only local/topical medications are given. If this is an elective placement of the chest tube occassionally IV medication can be given before the procedure. In good hands the placement should be only moderately uncomfortable. ...Read more

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What color is the drainage from a chest tube with a a pleural effusion?

What color is the drainage from a chest tube with a a pleural effusion?

Chest drainage: It depends on the character of the effusion. Frequently malignant effusions will be bloody. Infectious effusions may be cloudy/pussy. Effusions from CHF are usually sort of beer colored. ...Read more

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What color is the drainage from a chest tube with a a pleural effusion?

What color is the drainage from a chest tube with a a pleural effusion?

Depends: caused bybwhat? Trauma- bloody Cancer- bloody or yellow serous, or sero- sanguinous. Infection - bloody or cloudy or pus or serous ...Read more

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What color is drainage from a chest tube when you have a pleural effusion?

What color is drainage from a chest tube when you have a pleural effusion?

Depends on cause: It really depends on the cause of the effusion. For example, it can look very bloody if related to a hemothorax or complicated parapneumonic effusion, it can look like pus if due to an empyema, or it can even look milky if related to a chylothorax, in general, if due to pneumonia or malignancy it usually looks clear to yellowish with some blood. ...Read more

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Vats done on right middle lobe Jan. 15/15. Moderate pneumothorax. Chest tube still in place Jan. 29. Should I be concerned?

Vats done on right middle lobe Jan. 15/15.  Moderate pneumothorax.  Chest tube still in place Jan. 29.  Should I be concerned?

Depends on condition: Removal is usually by the 1 who put it in. The chest tube is meant to re-inflate the lung, & shd e removed when conditions r "right" in the eyes of the thoracic surgeon. As long as the lung doesn't properly re-expand, there is a leak, or the lung has a good chance of collapse, the surgeon leaves the chest tube in. The chest tube is most painful right b4 it comes out, as the lung lining is sensitiv ...Read more

Chest Tube (Definition)

A chest tube (chest drain, thoracic catheter, tube thoracostomy, or intercostal drain) is a flexible plastic tube that is inserted through the chest wall and into the pleural space or mediastinum. It is used to remove air (pneumothorax[2]) or fluid (pleural effusion, blood, chyle), or pus (empyema) from the intrathoracic space. It is also known as a b├╝lau drain ...Read more


Dr. David Dang
29 doctors shared insights

Thoracentesis (Definition)

When a patient has fluid around the lungs, sometimes we need to find out what caused it, other times we want to remove the fluid so the patient can breath easier. It takes place under sterile conditions by placing a needle into the chest wall from the back and connecting the needle with a catheter to a suction bottle which collects the fluid. Fluid is ...Read more