What equipment is required to perform a tube thoracostomy?

Updated: Feb 24, 2020
  • Author: Gil Z Shlamovitz, MD, FACEP; Chief Editor: Nader Kamangar, MD, FACP, FCCP, FCCM  more...
  • Print
Answer

Answer

Equipment is as follows:

  • Chest tube drainage device with water seal (autotransfuser unit is an option)

  • Suction source and tubing

  • Sterile gloves

  • Preparatory solution

  • Sterile drapes

  • Surgical marker

  • Lidocaine 1% with epinephrine

  • Syringes, 10-20 mL (2)

  • Needle, 25 gauge (ga), 5/8 in

  • Needle, 23 ga, 1.5 in; or 27 ga, 1.5 in; for instilling local anesthesia

  • Blade, No. 10, on a handle

  • Large and medium Kelly clamps

  • Large curved Mayo scissors

  • Large straight suture scissors

  • Silk or nylon suture, 0 or 1-0

  • Needle driver

  • Vaseline gauze

  • Gauze squares, 4 x 4 in (10)

  • Sterile adhesive tape, 4 in wide

  • Chest tube of appropriate size: Man - 28-32F; woman - 28F; child - 12-28F; infant - 12-16F; neonate - 10-12F


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!