Thoracic Lavage - Revision history

LiamG at 15:10, 29 July 2023

2023-07-29T15:10:40Z

← Older revision		Revision as of 15:10, 29 July 2023
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	[https://emcrit.org/ibcc/hypothermia/#resuscitating_the_hypothermic_pulseless_patient ~~Hypthermia~~ - EMCrit Project]		[https://emcrit.org/ibcc/hypothermia/#resuscitating_the_hypothermic_pulseless_patient Hypothermia - EMCrit Project]

	Two tube technique:		Two tube technique:

LiamG at 02:53, 18 April 2023

2023-04-18T02:53:08Z

← Older revision		Revision as of 02:53, 18 April 2023
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	#After 15 minutes, drain fluid and repeat procedure.		#After 15 minutes, drain fluid and repeat procedure.

	[[file:Thoracic_Lavage_Diagram.PNG~~\|framed\|Supplies~~]]		[[file:Thoracic_Lavage_Diagram.PNG]]

	[[Common ED Procedures]]		[[Common ED Procedures]]

LiamG at 02:52, 18 April 2023

2023-04-18T02:52:49Z

← Older revision		Revision as of 02:52, 18 April 2023
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	#Instill 300-500 mL of warmed (40-45 degrees) NS.		#Instill 300-500 mL of warmed (40-45 degrees) NS.
	#After 15 minutes, drain fluid and repeat procedure.		#After 15 minutes, drain fluid and repeat procedure.

			[[file:Thoracic_Lavage_Diagram.PNG\|framed\|Supplies]]

	[[Common ED Procedures]]		[[Common ED Procedures]]

LiamG: Created page with "[https://emcrit.org/ibcc/hypothermia/#resuscitating_the_hypothermic_pulseless_patient Hypthermia - EMCrit Project] Two tube technique: #Place two bilateral 32-36F thoracostom..."

2023-04-18T02:50:01Z

Created page with "[https://emcrit.org/ibcc/hypothermia/#resuscitating_the_hypothermic_pulseless_patient Hypthermia - EMCrit Project] Two tube technique: #Place two bilateral 32-36F thoracostom..."

New page

[https://emcrit.org/ibcc/hypothermia/#resuscitating_the_hypothermic_pulseless_patient Hypthermia - EMCrit Project]

Two tube technique:
#Place two bilateral 32-36F thoracostomy tubes.
##First tube small gauge (pigtail-28F) in anterior space (2nd intercostal midclavicular). A Wayne pigtail catheter (14 Fr) or a Safe-T-Centesis catheter (8 Fr) can hook directly to standard IV tubing.
##Second tube large gauge (32-36F) in posterior lateral space (5th intercostal posterior axillary line).
#Place pleuravac to lower chest tube.
#Run warmed (40-45 degree) NS at rate of 1-3 L / hr.
#Ensure same amount of fluid draining, otherwise you will cause a tension hydrothorax.

Single tube technique:
#Insert bilateral 32-36F thoracostomy tubes in posterior lateral spaces.
#Insert 14 gauge needle with stopcock into chest tube, close to chest wall. Secure with waterproof dressing e.g. tegaderm.
#Clamp tube distal to 14 gauge needle.
#Instill 300-500 mL of warmed (40-45 degrees) NS.
#After 15 minutes, drain fluid and repeat procedure.

[[Common ED Procedures]]