Patient Education - Lung Cancer Program at UCLA
yourself about lung cancer:
A chest tube insertion involves the surgical placement of a hollow, flexible drainage
tube into the chest.
Chest drainage tube insertion; Insertion of tube into chest; Tube thoracostomy
Chest tubes are inserted to drain blood, fluid, or air and to allow the lungs to fully
expand. The tube is placed between the ribs and into the space between the inner lining and
the outer lining of the lung (pleural space).
The area where the tube will be inserted is
numbed (local anesthesia). Sometimes sedation is also used. The chest tube is inserted through
an incision between the ribs into the chest and is connected to a bottle or canister that
contains sterile water. Suction is attached to the system for drainage. A stitch (suture)
and adhesive tape keep the tube in place.
The chest tube usually stays in place until the x-rays show that all the blood, fluid,
or air has drained from the chest and the lung has fully re-expanded. When the chest tube
is no longer needed, it can be easily removed. Most people don't need medications to sedate
or numb them while the chest tube is removed. Antibiotics may be used to prevent or treat
In certain people, the chest tube may be inserted using a minimally invasive technique
guided by x-ray. Sometimes chest tubes are placed during major lung or heart surgery while
the person is under general anesthesia.
Why the Procedure is Performed
Chest tubes are used to treat conditions that can cause the lung to collapse, such as:
- Air leaks from the lung into the chest (pneumothorax)
- Bleeding into the chest (hemothorax)
- After surgery or trauma in the chest (pneumothorax or hemothorax)
- Lung abscesses or pus in the chest (empyema).
Risks for any anesthesia are:
- Reactions to medications
- Problems breathing
Risks for any surgery are:
Most people completely recover from the chest tube insertion and removal. There is only
a small scar.
You will stay in the hospital until the chest tube is removed. While the chest tube is
in place, the nursing staff will carefully check for possible air leaks, breathing difficulties,
and the need for additional oxygen. You'll need to breathe deeply and cough often to help
re-expand the lung, assist with drainage, and prevent fluids from collecting in the lungs.
Reviewed By: Robert A. Cowles, M.D., Assistant Professor of Surgery, Columbia University
College of Physicians and Surgeons, New York, NY. Review provided by VeriMed Healthcare Network.
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