Template:Chest tube size table: Difference between revisions

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| Medium (20-28 Fr)||
| Medium (20-28 Fr)||
*[[Traumatic pneumothorax]]
**2012 study using  28-32 Fr tube just as good as 36-40 Fr tube. <ref>Inaba Et. al J [https://www.ncbi.nlm.nih.gov/pubmed/22327984 Trauma Acute Care Surg. 2012 Feb;72(2):422-7.]</ref> This is reflected in the ATLS 2019 Guidelines: "ATLS ® -10 now recommends placement of a smaller 28F to 32F chest tube for any acute hemothorax that is visible on chest radiograph." <ref>[https://www.ncbi.nlm.nih.gov/pubmed/30711226 Advanced Trauma Life Support® Update 2019: Management and Applications for Adults and Special Populations.]</ref>
*Pneumothorax on mechanical ventilation
*Pneumothorax on mechanical ventilation
*Non-traumatic [[tension pneumothorax]]
*Non-traumatic [[tension pneumothorax]]
*Malignant effusion
*Malignant effusion
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*Bleeding (Hemothorax/hemopneumothorax)
*Bronchial-pleural fistulae (large air leak)
*Bronchial-pleural fistulae (large air leak)
*Malignant fluid
*Malignant fluid
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| Large (36-40 Fr)||
| Large (36-40 Fr)||
*[[Traumatic pneumothorax]]
**2012 study using  28-32 Fr tube just as good as 36-40 Fr tube. <ref>Inaba Et. al J [https://www.ncbi.nlm.nih.gov/pubmed/22327984 Trauma Acute Care Surg. 2012 Feb;72(2):422-7.]</ref> This is reflected in the ATLS 2019 Guidelines: "ATLS ® -10 now recommends placement of a smaller 28F to 32F chest tube for any acute hemothorax that is visible on chest radiograph." <ref>[https://www.ncbi.nlm.nih.gov/pubmed/30711226 Advanced Trauma Life Support® Update 2019: Management and Applications for Adults and Special Populations.]</ref>
*[[Empyema]]
*[[Empyema]]
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*Bleeding (Hemothorax/hemopneumothorax)
*Thick pus
*Thick pus
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Revision as of 12:02, 18 July 2020

Adult Chest Tube Sizes

Chest Tube Size Type of Patient Underlying Causes
Small (8-14 Fr)
  • Alveolar-pleural fistulae (small air leak)
  • Iatrogenic air
Medium (20-28 Fr)
  • Traumatic pneumothorax
    • 2012 study using 28-32 Fr tube just as good as 36-40 Fr tube. [1] This is reflected in the ATLS 2019 Guidelines: "ATLS ® -10 now recommends placement of a smaller 28F to 32F chest tube for any acute hemothorax that is visible on chest radiograph." [2]
  • Pneumothorax on mechanical ventilation
  • Non-traumatic tension pneumothorax
  • Malignant effusion
  • Bleeding (Hemothorax/hemopneumothorax)
  • Bronchial-pleural fistulae (large air leak)
  • Malignant fluid
Large (36-40 Fr)
  • Thick pus