Nursing management of chest drains

Abstract

This article provides an overview of the essential physiology of the respiratory system to enhance understanding of the principles of intrapleural drainage. Indications for chest drain insertion, related signs and symptoms, potential complications and nursing reponsibilities are discussed.

Nurses’ knowledge of chest drain care: an exploratory descriptive survey

“…A further question examining nurses’ understanding of the underpinning principles of chest drains related to the conditions requiring chest drain insertion. The statement ‘the most common condition requiring chest drain insertion is a pneumothorax’, which is true (McMahon‐Parkes, 1997; Allibone, 2003; Laws et al ., 2003), was provided to the respondents. Only half of the participants, 50·3% ( n = 95), reported the statement as true.…”

“…On the ward, nurses are usually responsible for the positioning of a patient, which plays an important part in ensuring safety and comfort for the patient throughout the procedure (Horsington, 1984; Campbell, 1993; Avery, 2000; Lazzara, 2002). However, this particular aspect of chest drain management was notably absent in most of the reviewed articles (Nicoll, 1983; Farley, 1988; Godden and Hiley, 1998; Allibone, 2003). Instead, there was a clear focus on the equipment needed for the procedure (O’Hanlon‐Nichols, 1996; Pettinicchi, 1998; Allibone, 2003).…”

“…However, this particular aspect of chest drain management was notably absent in most of the reviewed articles (Nicoll, 1983; Farley, 1988; Godden and Hiley, 1998; Allibone, 2003). Instead, there was a clear focus on the equipment needed for the procedure (O’Hanlon‐Nichols, 1996; Pettinicchi, 1998; Allibone, 2003).…”

“…Patients admitted to acute care areas, respiratory wards and cardio‐thoracic surgery units are often treated with chest drains. These are either inserted intraoperatively to drain excess fluid or are part of the conservative management of a respiratory illness or thoracic injury (Allibone, 2003). The decision to insert chest drains, performance of the insertion and instructing changes during the course of treatment are indicated by the medical team and result from careful evaluation of each patient's condition, diagnosis and prognosis (Laws et al ., 2003).…”

The effect of cold application on pain due to chest tube removal

“…1999, Sauls 2002). As the chest tubes will cause pain during removal, analgesics should be provided prior to the tube removal and sufficient time should be provided for it to take effect (Allibone 2003, Hunter 2008).…”