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Clinical Hub,Patient Education,Health and Nutrition Facts For You,Trauma

Information About Chest Tubes - Trauma (6692)

Information About Chest Tubes - Trauma (6692) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Trauma

6692


Information about Chest Tubes
Trauma


What is a chest tube?
A chest tube is a plastic tube used to remove air,
blood, or other fluids from a space that exists
between your lungs and chest cavity. This space is
called the pleural space. When fluid or air collects in
the pleural space, the lungs can’t expand the way
they should. This makes it hard for you to breathe.
A chest tube is placed to remove the fluid or air from
the pleural space allowing you to breathe easier.

There are common reasons for placing chest
tubes. They include:
ξ Collapsed lung – When air builds up in the
spaces around the lungs, it can cause the lung to collapse. Removing the air allows the lung
to re-expand and seal the leak.
ξ Infection –A chest tube may be used to remove infected fluid around the lung.
ξ Increased fluid – For some cancers and other conditions, large amounts of fluid build up
around the lungs. If this fluid keeps coming back, a chest tube may be used to drain the fluid
and prevent build-up.
ξ Comfort – Chest tubes can be used to drain excess fluid or air and make it easier for a
patient to breathe.

What happens when a chest tube is inserted?
ξ You will be awake during the procedure and may be given some
medicine to help with pain and to help you relax.
ξ The doctor will have you lie on your back.
ξ The skin around the area where the chest tube is inserted will be
cleaned and numbed with a local anesthetic. Be sure to tell your
doctor or nurse of any allergies you may have. You will have a
stinging or burning feeling when the local anesthetic is injected.
ξ You may feel pressure to cough after the tube is inserted. It is
okay to do so.
ξ Stitches will be used to hold the tube in place and a dressing put
on top. This dressing will be changed daily.
ξ The chest tube is attached to a drainage collection unit. It looks
like a thin box with different chambers. It may or may not be
connected to a suction unit on the wall.
ξ A chest x-ray will be taken to make sure the chest tube is in the
correct place.



What should I do when I have a chest tube?
You should tell your nurse if you are having increased pain or if you are having trouble
breathing. The nurse will listen to your lungs and heart and place a plastic clip or sticker on your
finger to measure the oxygen in your blood. The nurse will also check the chest tube and
drainage unit to make sure it is working as it should. It is very important for you to do
coughing and deep breathing exercises. The nurse will remind you to do this.

Will I be allowed out of bed?
Your doctor will decide what type of activity you can do. Most often patients can get out of bed
with a chest tube. If your doctor wants you to remain on suction, your nurse will order a portable
suction unit to connect the chest tube to for you to bring with you when you leave your room.
The chest drainage collection unit should stay at least a foot below the level where the tube was
inserted so fluids do not back flow into your chest.

What happens if I accidentally knock the chest drainage collection unit over?
If the chest drainage collection unit gets knocked over, call the nurse. Your nurse will check to
see if any fluids are in the wrong chambers or if the unit is broken.

What happens if I accidentally pull out my chest tube?
Call the nurse right away. Your nurse will cover the site if the chest tube completely fell out or
reattach the chest tube if it became disconnected from the drainage collection unit. Your doctor
will be notified and an x-ray may be obtained and the chest tube replaced if needed.

When will the chest tube be removed?
Your doctor will decide when to remove the chest tube depending on the amount of drainage and
whether your lung has expanded to the normal position. This will be checked by daily chest x-
rays. This process may take several days and the time to removal is very difficult to predict.

What happens when a chest tube is removed?
The doctor will take the stitches out and then quickly pull the chest tube out and put a dressing
over the wound. The doctor may ask you to take a deep breath and hold it while the tube is being
removed. You will feel a short, burning sensation or pain while the doctor is pulling the chest
tube out. Take a few deep breaths after it is out. You will have a chest x-ray taken after the tube
is removed. Occasionally a chest tube must be put back in after removal and this x-ray will help
your doctor to know if this is needed. If you need any pain medicine, be sure to ask your nurse.

What should I know before I go home?
The dressing that was placed when your chest tube was removed should stay on for 48 hours.
After 48 hours, the dressing will be changed daily while in the hospital. Keep the dressing clean
and dry. You can remove the dressing and leave the chest tube site open to air once drainage
stops. Bathe or shower as usual.




Call your doctor if you have:
ξ Sudden chest or shoulder pain
ξ Trouble breathing
ξ A temperature greater than 101.5 θ F
ξ An increase in drainage on the dressing and/or a foul odor














































Your health care team may have given you this information as part of your care. If so, please use it and call if you
have any questions. If this information was not given to you as part of your care, please check with your doctor. This
is not medical advice. This is not to be used for diagnosis or treatment of any medical condition. Because each
person’s health needs are different, you should talk with your doctor or others on your health care team when using
this information. If you have an emergency, please call 911. Copyright © 11/2015 University of Wisconsin Hospitals
and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#6692