This is a video lecture on how to insert a chest tube. It was done for an elderly gentleman with a spontaneous collapse of the right lung. His permission was given to display this video. Pneumothorax presents in 3 peaks: Neonates, 20-40year olds(usually primary) and >40 year olds (secondary) Spontaneous pneumothoraces occur in about 60% of cases and have a genetic component or are due to diseases such as Marfans Secondary Pneumothoraces occur due to various causes which include trauma, COPD, Mitotic lesions, and others. Clinically, most patients will have symptoms with approximately 95% having pleuritic chest pain. About 80% will have dyspnoea and a small percentage(10%) have cough. Secondary pneumothoraces are usually more dramatic than primary. This video looks at the management of pneumothoraces. Listen to the lecture. Certainly a more conservative approach is taken in the smaller collapses ie <10-15%. In these cases the patient may be placed on high flow oxygen and observed overnight. In smaller primary pneumothoraces the patient may even be sent home.
Come to our PROCEDURES WORKSHOPS where we teach you to put in chest tubes, do lumbar punctures, suture, resuscitate, do surgical airways, learn about vascular access and MORE! It’s part of two full days on procedures.
