Chest Tube Insertion
Work through chest tube placement so you can approach thoracostomy for pneumothorax, hemothorax, and pleural effusion with a clear step-by-step plan.
What this track covers
This track covers chest wall anatomy and the safe triangle, how indications and clinical presentation drive tube selection, the insertion sequence from blunt dissection to securing the tube, and ongoing drainage system management through removal. It's built for clinicians who need to reason through the procedure, not just watch it performed.
What you will practice
- Localize the safe triangle and identify the intercostal neurovascular bundle before insertion
- Differentiate indications across pneumothorax, hemothorax, and pleural effusion
- Walk through blunt dissection and finger thoracostomy technique step by step
- Recognize signs of malposition or an air leak in the drainage system
- Decide when a tube is ready for removal and what to check beforehand
Simulator scenario
A trauma patient with decreasing breath sounds and hypotension after a chest injury, requiring the clinician to recognize the presentation and talk through emergent tube thoracostomy.
Board question topics
- Safe triangle and neurovascular anatomy
- Indications and tube size selection
- Insertion technique and complication avoidance
- Drainage system troubleshooting and removal criteria
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