2. ALM OF ICD
To remove the air or fluid the pleural space.
Expansion of lung
3. Diameter of chest tubes is 6-11 mm in adult.
Under water seal:-
Air Is removed from space during expiration and to prevent
reentering to space during inspiration underwater is underwater
seal is necessary.
Tube should be 2 cm below the leave of water surface.
4. MECHANISM OF DRAINN
Suction
1. Free drain:- depends upon the gravity only one bottle or
bag for drainage.
2. Suction:- in the presence of large amount of fluid suction of
5-20 mm hg is necessary.
5. CLAMPING OF CATHETER
Clamping of tubes is avoided except
1. If bottle need to be lifted above the level of chest.
2. Bottle replacement.
3. Accidental disconnection of tube or brakeage of container.
Clamping of the tube should be close to the chest wall.
6. DRAIN REMOVAL
Tube should be removed once the drain is 10-20 ml/hour.
Chest tube should be clamped for a period of 12-24 hour and
than x-ray should be taken to clear that collection of fluid is
not there and then you can remove the tube.
7. POINTS FOR PHYSIOTHERAPIST
Observe the fluid movement in the tube during. Before and
after treatment.
Avoid kinking, stretching or disconnection.
Upper limb exercise and postural correction.
Tube should be below the level of chest.
Don’t underestimate the pain of ICD.
