Chest Tube Placement Checklist PREPARATION o Consent o Position Patient o Monitoring o Time Out o Review Labs o Review Meds o Review Cxr EQUIPMENT o Chest Tube Tray o Chest tube o Sterile gloves o Atrium o Lidocaine o Caps, masks, gowns INSERTION TECHNIQUE o Scrub, drape, scrub o Anesthetize skin and deeper tissue o Make 1.5 to 2 cm incision through soft tissue and down to rib o Dissect above one rib superior Penetrate muscle and pleura using blunt dissection o Feel inside the chest to ensure that the lung is not adherent o Direct the tube and unclamp the tube as it passes SECUREMENT TECHNIQUE o Connect to pleural drainage system and unclamp the tube o Secure tube using the Roman Sandal Technique Nick Mark MD @nickmmark #ChestTube #Checklist #Procedure #Management #CriticalCare #insertion #placement
