Intercostal Tube

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 :
  • 140
    Shares

Hearing Tests for Adults

Hearing Tests Voice tests and tuning fork tests are easily carried out in a doctor’s office with little or no…

Anatomy of Ulnar Nerve

Anatomy of Ulnar Nerve Share this : Anatomy of Ulnar Nerve Otosclerosis Otosclerosis Otosclerosis, usually an hereditary disorder, causes abnormal…

Pleural Mesothelioma Stages

Pleural Mesothelioma Stages Mesothelioma is an aggressive, universally fatal, neoplasm arising from the serosal surfaces usually of the pleura (>90%),…

Dysphagia Differential Diagnosis

Dysphagia Carcinoma of the oesophagus Progressive dysphagia initially or solids then for liquids Associated regurgitation of undigested food Loss of…

Multiple Myeloma

Multiple Myeloma Multiple Myeloma is a malignant disease of bone marrow plasma cells, accounting for 1% of all malignant disease.…

Atrial Fibrillation

Atrial Fibrillation – ECG Case Discussion This ECG was recorded from a 60-year-old man being treated as an out-patient for…

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