pulmonary disorders
How To Do Tube and Catheter Thoracostomy
Equipment for Surgical Tube and Catheter Thoracostomy
Sterile gown, mask, gloves, and drapes Petroleum-based and regular gauze dressings and tape Cleansing solution such as 2%chlorhexidinesolution 25- and 21-gauge needles 10-mL and 20-mL syringes Local anesthetic such as 1%lidocaine 2 Hemostat or Kelly clamps Nonabsorbable, strong silk or nylon suture (eg, 0 or 1-0) Scalpel (size 11 blade) Chest tube: Size ranges from 16 to 36 French (Fr) and depends on intended use (20 to 24 Fr for pneumothorax; 20 to 24 Fr for malignant pleural effusion; 28 to 36 Fr for complicated parapneumonic effusions, empyema, and bronchopleural fistula; 32 to 36 Fr for hemothorax). Suction Water seal drainage apparatus and connecting tubing Equipment required for surgical tube thoracostomy except chest tube A≤14 Fr thoracostomy catheter ("pigtail catheter") 