Intercostal Tube


intercostal tube medicine

Intercostal Tube

A Intercostal tube (chest tube) is a hollow, flexible tube placed into the chest. It acts as a drain. The intercostal tube is placed between the ribs and into the space between the inner layer and the outer layer of the chest. This is called the pleural space.

[xyz-ihs snippet="Wide-Banner"]

Emergency conditions

  • Pneumothorax
  • In all patients on mechanical ventilation
  • When pneumothorax is large
  • In a clinically unstable patient
  • For tension pneumothorax after needle decompression
  • When pneumothorax is recurrent or persistent
  • Esophageal rupture with gastric leak into pleural space
  • When pneumothorax is secondary to chest trauma
  • When pneumothorax is iatrogenic, if large and clinically significant

Non-Emergency conditions

  • Malignant pleural effusion
  • Treatment with sclerosing agents or pleurodesis
  • Recurrent pleural effusion
  • Parapneumonic effusion or empyema
  • Chylothorax
  • Postoperative care (e.g., after coronary bypass, thoracotomy, or lobectomy)
  • The need for emergent thoracotomy is an absolute contraindication to tube thoracotomy.
  • Coagulopathy
  • Pulmonary bullae
  • Pulmonary, pleural, or thoracic adhesions
  • Skin infection over the chest tube insertion site
  • Loculated pleural effusion or empyema
  • Bleeding and hemothorax due to intercostal artery perforation
  • Perforation of visceral organs (lung, heart, diaphragm, or intraabdominal organs)
  • Perforation of major vascular structures such as the aorta or subclavian vessels
  • Intercostal neuralgia due to trauma of neurovascular bundles
  • Subcutaneous emphysema
  • Reexpansion pulmonary edema
  • Infection of the drainage site, pneumonia, and empyema.
  • There may be technical problems such as intermittent tube blockage from clotted blood, pus, lines for the insertion of a chest drain or debris, or incorrect positioning of the tube, which causes ineffective drainage.
Share this :

Drugs used in Tuberculosis

Drugs used in Tuberculosis Share this : Physiology of Balance Physiology of Balance Brainstem – Vestibular nuclei are an essential…

Pathophysiology of Asthma

Newsletter Pathophysiology of Asthma Asthma is usually defined clinically as reversible airflow limitation, but current definitions also recognise the presence…

Acute Otitis Media

Acute Otitis Media Acute otitis media, acute inflammation of the middle-ear cavity, is a common condition and is frequently bilateral.…

Appendicitis

Appendicitis This is the commonest cause of the acute abdomen. It usually occurs when there is an obstruction in the…

Our mission is to provide a free, reliable and first-class education to everyone.

Rish Academy is a nonprofit organization. 

Every little bit counts and is appreciated.

Find us on

Leave a Reply

Your email address will not be published. Required fields are marked *