Chest Drainage



Physicians charged with the task of caring for the critically ill will inevitably encounter patients who require drainage of the pleural cavity, e.g., those with pneumonia, central lines, and mechanical ventilation. Practitioners caring for these individuals should be comfortable with placement and management of chest tubes


Chest Tube Pleural Fluid Pleural Space Parietal Pleura Tension Pneumothorax 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Hippocrates. Genuine Works. Vol 2. New York: William Wood and Company.Google Scholar
  2. 2.
    Playfair G. Case of empyema treated by aspiration and subsequently by drainage: recovery. BMJ. 1875;1:45.CrossRefGoogle Scholar
  3. 3.
    Hewett C. Drainage for empyema. BMJ. 1876;1:317.PubMedCrossRefGoogle Scholar
  4. 4.
    Graham E, Bell R. Open pneumothorax: its relation to treatment of empyema. Am J Med Sci. 1918;156:839–871.CrossRefGoogle Scholar
  5. 5.
    Brewer L. Wounds of the chest in war and peace, 1943–1968. Ann Thorac Surg. 1969;7:387–408.PubMedCrossRefGoogle Scholar
  6. 6.
    de Lassence A, Timsit JF, Tafflet M, et al. Pneumothorax in the intensive care unit: incidence, risk factors, and outcome. Anesthesiology. 2006;104(1):5–13.PubMedCrossRefGoogle Scholar
  7. 7.
    Takahashi S, Yokoyama T, Ninomiya N, Yokota H, Yamamoto Y. A case of simultaneous bilateral spontaneous pneumothorax developed into tension pneumothorax. J Nippon Med Sch. 2006;73(1):29–32.PubMedCrossRefGoogle Scholar
  8. 8.
    Holloway VJ, Harris JK. Spontaneous pneumothorax: is it under tension? J Accid Emerg Med. 2000;17(3):222–223.PubMedCrossRefGoogle Scholar
  9. 9.
    Kircher LT Jr, Swartzel RL. Spontaneous pneumothorax and its treatment. J Am Med Assoc. 1954;155(1):24–29.PubMedCrossRefGoogle Scholar
  10. 10.
    Mattison LE, Coppage L, Alderman DF, Herlong JO, Sahn SA. Pleural effusions in the medical ICU: prevalence, causes, and clinical implications. Chest. 1997;111(4):1018–1023.PubMedCrossRefGoogle Scholar
  11. 11.
    Whitaker S. Introduction to fluid mechanics. Englewood Cliffs, NJ: Prentice-Hall; 1968.Google Scholar
  12. 12.
    Beamis J, Mathur P, eds. Interventional Pulmonology. New York: McGraw-Hill; 1999.Google Scholar
  13. 13.
    Seldinger SI. Catheter replacement of the needle in percutaneous arteriography; a new technique. Acta radiol. 1953;39(5):368–376.PubMedCrossRefGoogle Scholar
  14. 14.
    Powner DJ, Cline CD, Rodman GH Jr. Effect of chest-tube suction on gas flow through a bronchopleural fistula. Crit Care Med. 1985;13(2):99–101.PubMedCrossRefGoogle Scholar
  15. 15.
    So SY, Yu DY. Catheter drainage of spontaneous pneumothorax: suction or no suction, early or late removal? Thorax. 1982;37(1):46–48.PubMedCrossRefGoogle Scholar
  16. 16.
    Reed MF, Lyons JM, Luchette FA, Neu JA, Howington JA. Preliminary report of a prospective, randomized trial of underwater seal for spontaneous and iatrogenic pneumothorax. J Am Coll Surg. 2007;204(1):84–90.PubMedCrossRefGoogle Scholar
  17. 17.
    Urschel JD. Balloon tamponade for hemorrhage secondary to chest tube insertion. Respir Med. 1994;88(7):549–550.PubMedCrossRefGoogle Scholar
  18. 18.
    Mahfood S, Hix WR, Aaron BL, Blaes P, Watson DC. Reexpansion pulmonary edema. Ann Thorac Surg. 1988;45(3):340–345.PubMedCrossRefGoogle Scholar
  19. 19.
    Laws D, Neville E, Duffy J. BTS guidelines for the insertion of a chest drain. Thorax. 2003;58(Suppl 2):ii53–ii59.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.Departments of Pulmonary and Critical Care MedicineIndiana UniversityIndianapolisUSA

Personalised recommendations