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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

Dr. Michael Gabor
2,271 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 isn't inflated what will thr consquences be?

I have colapsed lung with chest tube. If I chose to remove tube and lung isn't 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?

Depends: Normal fluid should look like light colored urine. Heart, liver and kidney failure effusions will look like this. If it's an empyema, it will be pus. If it's infection or something inflammatory, It can be pus, dark yellow, or bloody. If it's a cancer, it's almost always bloody. ...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

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Is having vats resection if a spine tumour considered major surgery? It's been three weeks I'm still in agony where the chest tube my nerves hurt too

Is having vats resection if a spine tumour considered major surgery? It's been three weeks I'm still in agony where the chest tube my nerves hurt too

Yes: Vats is major surgery. Unfortunately, pain from chest tube site and/or vats instrument port sites can result from intercostal nerve injury/compression. Some patients may suffer neuralgia following surgery. ...Read more

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How long does pain last after a chest tube?

How long does pain last after a chest tube?

This is variable: Pain after a chest tube can be variable. Usually it will resolve within a week after it has been removed. I would want to know why it was needed in the first place. Is the pain really related to the chest tube or to the underlying reason why the chest tube was related. Intercostal nerves running under the ribs can possibly be injured by a chest tube but this is unusual. ...Read more

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Chest pain after chest tube removal?

Normal: Chest tubes are painful as it is, and when removed, residual pain is not common. If it doesn't get gradually better or you become acutely short of breathe, then a repeat chest xray would be needed. ...Read more

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How is a chest tube inserted? Does it hurt?

How is a chest tube inserted? Does it hurt?

Depends: There are 2 ways. The easiest way is to place it over a wire that's inserted through a needle. These work for almost every type of problem that requires a chest tube. The other way, is to make an incision, dissect down to the ribs and puncture the pleura and place the tube through the hole. This is much more involved and painful. Local anesthetics do not numb the pleural and deep tissues. ...Read more

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How does chest tube obstruction of the patient happen?

How does chest tube obstruction of the patient happen?

Many causes/workup: A chest tube may become obstructed when there is a clot or other substance blocking drainage. A chest radiograph can help determine if there is still fluid or a pneumothorax. ...Read more

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Does a chest tube leave a big scar?

Does a chest tube leave a big scar?

Small scar: Chest tubes are drains that are essential to restore full expansion of the lung and drain fluid off. In other words, they are life saving. Scarring from these tubes is minimal (less than 1 inch) and shouldn't be a concern considering the advantages. ...Read more

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How long would a chest tube stay in pneumothorax?

Few days: On average with a spontaneous ptx tubes only needed for a day or two.
Sometimes u need an operation to fix the leak. ...Read more

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How easy is it to get a chest tube scar flattened? I had ohs when I was 8 and I am now 43

How easy is it to get a chest tube scar flattened? I had ohs when I was 8 and I am now 43

Improve, not remove.: Scars cannot be removed but there is a large variety of techniques to improve their appearance, both surgical and non-surgical. They also improve with time. See a board-certified plastic surgeon to evaluate your options.

Good luck! ...Read more

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If had a chest tube placed in the ER a few days ago can I fly on a commercial airliner?

If had a chest tube placed in the ER a few days ago can I fly on a commercial airliner?

Flying: Is the chest tube still in place? This doesn't make sense. You must ask your thoracic surgeon this question! ...Read more

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After a chest tube has been removed do u always end up with a big round scar? Mine is circular I wondered why it was stitched straight for me x

After a chest tube has been removed do u always end up with a big round scar? Mine is circular I wondered why it was stitched straight for me x

Often a round shape: Chest tubes are round, and depending on the location/duration the tube was in place, a hypertrophic round scar may result even if a stitch or two was placed at the time of removal. Relatively simple matter to revise and convert to a more linear scar. Chest wall is moving often, making some stretch-relaxation of maturing scars a bit problematic. ...Read more

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How does a chest tube drain fluid in the lung?

How does a chest tube drain fluid in the lung?

Suction: When chest tubes are attached to a vacuum, the pressure inside the tube is lower than the pressure inside your chest and it drains fluid out. ...Read more

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Does a chest tube hurt?

Does a chest tube hurt?

Depends: The small bore chest tubes inserted with a needle are much less painful than the large bore tubes that are inserted by making an incision and dissecting tissue down to the pleural. ...Read more

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Chest tube removal hurt?

Some: Removing the tube is usually very well tolerated. While it may feel strange, it generally causes very little pain. ...Read more

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How is a chest tube put in?

How is a chest tube put in?

Depends: There are 2 ways. The easiest way is to place it over a wire that's inserted through a needle. These work for almost every type of problem that requires a chest tube. The other way, is to make an incision, dissect down to the ribs and puncture the pleura and place the tube through the hole. This is much more involved and painful. ...Read more

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What is the definition or description of: chest tube?

See below: 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 bülau drain or an intercostal catheter. ...Read more

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My daughter had a chest tube at 2 years of age. (2004) she is now 13 and having pain around the scare.

Mgt: Sometimes scars do contract, and can cause pain. If she has any trouble breathing, I would advise a visit to the ED. Otherwise your PCP may elect to obtain a radiograph. ...Read more

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What are the effects of chest tube insertion?

Lung reinflation: Chest tubes are inserted to reinflate the lung after surgery or injury has caused them to deflate. They can also be used to drain fluid or pus from around the lung. Complications are very rare. ...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 bülau drain ...Read more


Dr. David Dang
33 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