Transcription of Chest-Tube Insertion
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Chest-Tube Insertion
N engl j med 357;15 october 11, 2007e15videos in clinical medicineThe n e w e n g l a n d j o u r n a l of m e d i c i n eChest-Tube InsertionShelly P. Dev, , Bartolomeu Nascimiento, Jr., , Carmine Simone, , and Vincent Chien, the Department of Critical Care Med icine, Sunnybrook Health Sciences Centre, University of Toronto, Toronto. Address reprint requests to Dr. Dev at the Depart ment of Critical Care, Sunnybrook Health Sciences Centre, 2075 Bayview Ave., Office D 112, Toronto, ON M4N 3M5, Canada, or Engl J Med 2007;357 2007 Massachusetts Medical of a chest tube is indicated in either emergency or nonemergency situa-tions.
Incision and Dissection An incision 1.5 to 2.0 cm in length should be made parallel to the rib. Use the Kelly clamp or artery forceps to cut through the subcutaneous layers and intercos-tal muscles (Fig. 2). The path should traverse diagonally up toward the next supe-rior intercostal space. Once you have dissected through the subcutaneous tissues,
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