edprochesttube

Procedure - Closed Tube Thoracostomy

A time-out was completed. The patient was positioned appropriately for chest tube placement. The patient’s {RIGHT/LEFT:20294} chest was prepped and draped in sterile fashion. 1% Lidocaine {WAS/WAS NOT:2100118327} used to anesthetize the surrounding skin area. A 2 cm skin incision was made in the mid-axillary line at the infra-mammary crease. Utilizing blunt dissection, a subcutaneous tunnel was created cephalad just adjacent to the superior rib. The pleural space was entered bluntly and gush of  {Blank single:19197::"blood","air"} was observed. A finger was inserted into the pleural space to check for anatomy and guide tube insertion. A *** F thoracostomy tube was inserted using a Kelly clamp and positioned appropriately. The chest tube was sutured securely to the skin and a sterile dressing applied. A Pleur-evac was attached to the chest tube and a chest x-ray obtained. 

Estimated Blood Loss: ***

A post-procedure XR was ordered.