Doctor insights on:
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 moreSee 1 more doctor answer
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) or fluid (pleural effusion, blood, chyle), or pus (empyema) from the intrathoracic space. It is also known as a bülau drain ...Read more
Depends: This is delicate work, involving cutting a hole in a sensitive ear drum after cleaning & sanitizing the ear canal, then any mucous or debris is suctioned out of the middle ear with a vacuum that sounds like a train bearing down on you. I suppose an adult might want to tough it out awake, understanding that any movement might mess things up, but it wouldn't work for infants/kids. ...Read moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Doc....Normally for how long it will stay the chest tube to the patient and is there a chance of surviving?
Certainly...: ...A chest tube is not a desperate measure, it does not mean someone is dying. As for how long it stays in, that depends of why it went in in the first place. Obviously someone who got it for an asthmatic or traumatic pneumothorax will walk away from the experience with more likelihood than someone with a malignant pleural effusion. ...Read more
Does inserting a chest tube for a collapsed lung caused by a gsw immediately inflate the lung again?
Chest Tube: Inserting a chest can and usually reinflates the lung immediately. It is left in place on suction for a few days in order to let the hole/leak on the lung to heal. It is also useful for draining fluid or blood that may be present around the lung. ...Read more
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 moreSee 1 more doctor answer
Unfortunately, I have frequent migraines and my doctor scheduled me to go to the same day surgical center for a neural block. Am i put to sleep?
Healthy f/57 postmenopausal bleeding. Having hysteroscopy d&c soon. Don't want to be put to sleep Doctor not giving me the option of regional. Why?
Anesthetic: The answer to this is basically, "it depends." On where the biopsy is coming from, on what type of biopsy, what localization is being done (CT, EUS, etc.) and what your age and clinical conditions are. Fine Needle biopsies often need no anesthesia, some bx need local pain control, and others require general anesthesia (put to sleep.) ...Read more
Rarely needs surgery: True fluid and hearing loss most often will clear on its own with decongestants and treatment for whatever led to the fluid in the first place (uri, sinusitis, allergy). This can be combined with holding your nose and blowing into the nose trying to "pop" your ears. Rarely fluid won't clear and adults can have it drained under a local or topical anesthetic. Fluid is often misdiagnosed - watch out! ...Read moreSee 2 more doctor answers
I am nervous about getting my prostate exam. How long do doctors have to fiddle around inside my butt? Will I be put to sleep or awake?
No worries: If you can let a dentist fiddle around in your mouth to do a dental cleaning, you can let a proctologist fiddle around inside your butt to check out your prostate. They are merely two ends of the same gastrointestinal tract. Don't bite a dentist when he's cleaning your teeth, and don't squeeze your butt when a proctologist is sizing your prostate. Let him take the time he needs to do his job well. ...Read more
Hysterectomy, esophagus dilation, tube in kidney for stone removal next day. Put to sleep a total of 4 times in 10 days (3 within 5 days). Is that ok?
That's Debatable: Some surgeons remove it at end expiration, reasoning no air can rush in then. Others remove it at maximum inspiration, since there will be no opportunity for air to enter. It likely doesn't matter which of these is chosen, the important concept being not to remove it during inspiration when air could be pulled in through the incision. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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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