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drainage
Contraindications
Coagulopathy or platelet dysfunction
warrants caution
Known or suspected mesothelioma
Pure tuberculosis effusion
Pleural Tubes
> the insertion
of pleural tube permits
removal of the air or
bloody fluid & allows
for reexpansion of the
lung and restoration of
the normal negative
pressure in the pleural
space .
Principles of Chest
Drainage
Principles Involved
Gravity
positive pressure
Suction
Water seal principle
TYPES OF CHEST
TUBE DRAINAGE
SYSTEM
1.
SINGLE BOTTLE
WATER SEAL
SYSTEM
2. TWO BOTTLE
WATER SEAL
SYSTEM
consists of the same water
seal chamber , plus a fluid
collection bottle
Drainage is similar to that of
a single unit , except that
when pleural fluid drains ,
the underwater seal system
is not affected by the volume
of the drainage
Effective drainage depends
on gravity or on the amount
of suction added to the
system
3. THREE- BOTTLE
WATER SEAL
SYSTEM
Theres an addition of a 3rd
bottle to control the amount
of suction applied
The amount of suction is
determined by the depth to
which the tip of the venting
glass tube is submerged in
the water
Drainage depends on the
gravity or the amount of
suction applied , which is
controlled by the manometer
bottle
The mechanical suction motor
/ wall suction creates &
maintains a negative pressure
throughout the entire closed
drainage system