تصنيف وخصائص وإجراءات تشغيل أنابيب تصريف الصدر

تم إنشاؤها 11.18

Medical Supplies for Thoracic Drainage

  • Treatment Trolley
  • Treatment Tray
  • Sterile Drape
  • Disinfected Water-Sealed Bottle
  • 2 Kidney-Shaped Basins (1 base + 1 lid)
    • Contents
      • 2 pairs of atraumatic forceps
      • PVP-iodine cotton balls  2% tincture of iodine  75% alcohol
      • vascular clamps
      • External normal saline
      • Bottle opener
      • Adhesive tape
      • Safety pins
      • Waste container
  • Thoracic Drainage Tube Set

I. Purpose

To evacuate air or fluid from the pleural cavity, restore negative pressure, and promote lung re-expansion.

II. Operational Procedures

  1. Don a surgical mask  hand hygiene
  2. In the treatment room, verify the sterilization expiration date. Open the disinfected water-sealed bottle 
  3. Pour external normal saline  long glass tube 
  4. Place all supplies on the treatment trolley and wheel it to the patient’s bedside. Explain the procedure to the patient to gain cooperation.
  5. Position the drainage bottle 60–100 cm below the chest level
  6. Assess the wound site, remove safety pins, ensure patient warmth, and compress the drainage tube  two vascular clamps
  7. Disinfect the connection port and properly reattach the drainage tube.
  8. Verify the integrity of the drainage system. Release the clamps, recompress the tube, and observe water column fluctuations 
  9. Secure the setup, position the patient comfortably, organize supplies, and document drainage volume, color, and characteristics

III. Key Precautions

  1. Strict aseptic technique  daily
  2. Never elevate the drainage bottle above the patient’s chest 
  3. Prevent kinking, compression, dislodgement, or obstruction 
  4. Ensure airtight sealing  Vaseline-impregnated gauze  do not clamp the chest tube pneumothorax
  5. Consider tube removal 
  1. After removal, monitor for dyspnea, subcutaneous emphysema, or recurrent pneumothorax
  2. For disposable thoracic drainage systems
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