What is a trocar used for in chest tube?
Conclusion: The use of endoscopic trocar-cannulae for chest-tube insertion is a safe, simple, and effective technique for management of trauma and other diverse intrathoracic abnormalities. Its use outside the hospital should be further studied.
What is a trocar catheter kit?
ARGYLE™ Trocar Catheter & Thoracostomy Procedure Tray Kits are convenient, procedure-oriented, sterile kits used for closed chest tube thoracostomies. The trocar catheter kit contains the necessary sterile insertion supplies for one placement.
What supplies are needed for chest tube insertion?
What equipment is required to perform a tube thoracostomy?
- Chest tube drainage device with water seal (autotransfuser unit is an option)
- Suction source and tubing.
- Sterile gloves.
- Preparatory solution.
- Sterile drapes.
- Surgical marker.
- Lidocaine 1% with epinephrine.
- Syringes, 10-20 mL (2)
What are the two types of chest tubes?
Generally, chest tubes divide into two size varieties: large-bore and small-bore. A large-bore chest tube is 20 Fr or larger, while a small-bore chest tube is smaller than 20 Fr. Smaller tubes are also available and are known as pleural catheters.
What is the trocar technique?
The trocar technique is a common technique for surgical procedures and interventional placement of tubes and drainage where instruments, tubes or drains are advanced to the target location through a fixed cannula or hollow tube namely the trocar, which acts as a portal in the process.
What is the proper placement of a chest tube?
Placement: A thoracostomy tube is usually placed between the mid to anterior axillary line in the fourth or fifth intercostal space tracking above the rib so as not to injure the intercostal bundle (artery, vein, nerve). The fourth intercostal space is normally at nipple level on males or inframammary fold on females.
What is trocar and cannula?
A trocar (or trochar) is a medical or veterinary device that is made up of an awl (which may be a metal or plastic sharpened or non-bladed tip), a cannula (essentially a hollow tube), and a seal. Trocars are placed through the abdomen during laparoscopic surgery.
How many CM should a chest tube be inserted?
For most patients, 10 cm is an adequate and safe depth of insertion. Very large people may require 12-14 cm. Insertion beyond these depths risks injury to the lung, cardiac, and mediastinal structures, especially if you were unsuccessful at guiding the tube toward the apex (see #4).
What should wall suction be set to for chest tube?
The chest tube should initially be set to continuous suction at -20 mmHg to evacuate the air.
Can a nurse insert a chest tube?
Advanced practice registered nurses and physician assistants perform chest tube insertions as well as trauma surgeons do.
What are the 3 chambers of a chest tube?
After a chest tube is placed, it’s connected to a drainage system like an Atrium (which I’ll be referencing in this post). This closed system consists of three chambers: collection, water-seal, and suction control.