Pearls about Chest Tube Management

Joseph Esherick, M.D., FAAFP, FHM
More Articles – blunt trauma, Chest Pain, Chest tube, chest tube placement, chest tube position, Chest tube removal, chest tube size, chest tubes, emergency procedures, empyema, Featured, hospital procedures, HPC Updates, parapneumonic effusion, pleural effusions, pleural fluid analysis, pneumonia, Pneumothorax, POCUS, Prophylaxis, Small-bore chest tube, Thoracentesis, thrombolysis, Tube Thoracostomy, Ultrasound-Guided Thoracentesis
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Chest tubes, or thoracostomy tubes, have been used since the fifth century BC when Hippocrates described the use of a hollow tin tube to drain fluid that was likely an empyema from his description.[i] Chest tubes started to be used…
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Management of Pleural Infections

Joseph Esherick, M.D., FAAFP, FHM
More Articles – Chest tube, chest tube placement, chest tube size, chest tubes, empyema, Featured, HPC Updates, parapneumonic effusion, pleural effusions, pleural fluid analysis, Pleural space, pneumonia, Thoracentesis, Tube Thoracostomy
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Complicated parapneumonic effusions frequently represent pleural space infections. Approximately 1 in 7 cases of pneumonia have an associated parapneumonic effusion (PPE) on chest x-ray. Most of these effusions are small and usually resolve spontaneously with prompt antibiotic administration. However, moderate-to-large…
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