ABSTRACT: Thoracentesis and thoracostomy tubes, also referred to as chest tubes or thoracic drains, are used to withdraw air (pneumothorax) and/or fluid [effusion] from the pleural space in order to relieve pulmonary collapse and restore pleural subatmospheric pressure. Chest tubes may also be used in cases where it is predicted that fluid or air may accumulate in the pleural space to prevent dyspnoea and consequential respiratory compromise.

This article focuses on initial treatment for pleural cavity diseased patients, chest tube induction, drainage and management. In addition, this paper discusses patient care following chest drain placement. The first section considers the anatomy associated with pleural cavity disease and initial patient management The second part explains the indications for thoracostomy tube induction, thoracic dram placement, management including drainage methods, nursing care and chest tube removal.

Author

Sarah Louise Day BSc (Hons) VNS NCert (A&CC) RVN MBVNA

Sarah registered as a Veterinary Nurse in 2004 and spent several years working in both primary care and referral practice before obtaining a Degree in Veterinary Nursing Science in 2010.

She gained the ESVPS Veterinary Nurses Certificate in Anaesthesia and Critical Care in 2011 and currently works as a senior veterinary nursing practitioner at Anderson Moores Veterinary Specialists and has a particular interest in anaesthesia and analgesia.

Keywords: Clinical, Management, Thoracostomy

To cite this article: Veterinary Nursing Journal• VOL 29 (02) • February 2014 • pp42-46

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