2007, Number 2
End to the discussion on how to remove a pleural tube based on a simple chest model
Contreras-Ruiz VR, Rojas-Díaz O, Vidal-González P, Sánchez-Jureidini GO, González-Avilés JM
Language: Spanish
References: 7
Page: 136-139
PDF size: 116.30 Kb.
ABSTRACT
Objective: To describe a chest model and to demonstrate the right way to remove the pleural tube.Setting: “ABC” Medical Center.
Design: Experimental model.
Material and methods: We describe a chest model constructed with materials readily available at any hospital, it is easy to manufacture (an empty plastic soda bottle (1.5 L), a condom, a piece of suture or a rubber band, a plastic hose of approximately 8 mm in diameter, in which holes have been made to simulate a pleural tube, and a disposable surgical glove).
Results: The different ways to remove the pleural tube and the model provides visible evidence of pleural physiology and how to remove correctly the tube demonstrating that in deep inspiration, and maneuver of Valsalva the pleural tube can be retired without a new pneumothorax.
Conclusions: The chest model is simple, and brings and end to doubts and discussions. The optimal way to remove the tube is during deep inspiration and with the Valsalva maneuver during which no recurring pneumothorax is originated in spite of not removing the tube quickly.
REFERENCES