Die Thoraxdrainage

Eine rasch angelegte Thoraxdrainage kann Leben retten – deshalb sollten nicht nur Chirurgen, sondern auch Notärzte und Intensivmediziner den Eingriff sicher beherrschen. Hier erfahren Sie, wann eine Thoraxdrainage indiziert ist und wie sie Schritt für Schritt durchgeführt wird.

A chest tube is used to drain the contents of the pleural space to reconstitute the physiologic pressures within the pleural space and to allow the lungs to fully expand. Indications for chest tube placement include pneumothorax, hemothorax, pleural effusion, pleural empyema, and major thoracic surgery. The most appropriate site for chest tube placement is the 4th or 5th intercostal space in the mid- or anterior- axillary line. Attention to technique in placing the chest tube is vital to avoid complications from the procedure. Applying the step-by-step technique presented, placement of a chest tube is a quick and safe procedure. Complications – frequently occurring when the tube is inserted with a steel trocar – include hemothorax, dislocation, lung lacerations, and injury to organs in the thoracic or abdominal cavity.“

Schlüsselwörter

Pleuradrainage - Thoraxdrainage - Pneumothorax - Pleuraerguss

Keywords

pleural drainage - chest tube drainage - pneumothorax - pleural fluid

• Literatur

• 1 Henry M, Arnold T, Harvey J. BTS guidelines for the management of spontaneous pneumothorax. Thorax 2003; 58 (Suppl. 02) ii39-52
• 2 Klopp M, Dienemann H, Hoffmann H. Behandlung des Pneumothorax. Chirurg 2007; 78 (07) 655-68
• 3 Klopp M, Pfannschmidt J, Dienemann H. Behandlung des Pleuraempyems. Chirurg 2008; 79 (01) 83-96