What type of dressing do you apply after removing a chest tube?

When removing a chest tube, first stack a Xeroform Petrolatum gauze dressing on a nonadhesive dressing. Tape three sides of the dressing over the tube with foam tape. While keeping a fourth piece of tape ready, snip the sutures holding the tube in place.

How do you dress a chest tube wound?

Apply the split 4×4 gauze dressing/sponges around the chest tube so that the openings do not lie directly over one another. Lay two 4×4″ gauze sponges over the sponges covering the chest tube. Apply tape to create an occlusive dressing. Date and time dressing.

Do you suture after removing chest tube?

In the proper management of chest drainage, securing the chest tube tightly and removing it without any complications are both important. In the conventional method, one suture is used to fix the tube, while another, U-shaped suture is used to close the wound after the removal of the tube.

How do you uncoil pigtail catheters?

To uncoil the pigtail drain the catheter/string should be cut to release the string that creates the pigtail coil. If required, cut the tip of the tube for cultures. Document removal of drain and that it is intact/not intact in progress notes as well as amount of drainage in the flowsheets.

How to remove a pigtail catheter and chest tube?

Pass the pigtail and its trocar over the wire, making sure that the last side hole is within the pleural space. Remove the trocar and guide wire, leaving the pigtail catheter in place and suture the pigtail to the chest wall in a similar manner to conventional chest tubes. Obtain a confirmatory chest X-ray after the procedure is complete.

What are the side effects of a pigtail catheter?

Complications : similar to those seen in larger bore chest tube placement, including bleeding from an intercostal artery (or internal mammary artery if going in the midclavicular line), solid organ injury, diaphragmatic injury, infection, and re-expansion pulmonary edema.

Where is the thoracostomy catheter put in the chest?

Tube thoracostomy (standard tube, pigtail) is a common procedure in which any tube or small catheter is placed through the chest wall into the pleural cavity and to primarily drain air or fluid.

How to prepare a patient for chest tube removal?

Preparing for Removal Decide if it is time for removal. Explain the procedure to the patient. Position the patient in a semi-Fowler’s position. Wash your hands and put on gloves. Put on an apron and face shield. Place a pad to collect drainage. Prepare a new dressing and tape for easy placement. Remove the chest tube dressing carefully.