Thoracic lavage: Difference between revisions
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**Attach to continuous drainage vis pleur-evac or auto-transfuser | **Attach to continuous drainage vis pleur-evac or auto-transfuser | ||
***if using autotranfuser can re-attach to warming line for closed circuit | ***if using autotranfuser can re-attach to warming line for closed circuit | ||
[[File:thoraciclavage.png|thumb|Two Tube System]] | |||
==One Tube System== | ==One Tube System== | ||
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**Introduce large bolus of warmed saline | **Introduce large bolus of warmed saline | ||
**Allow fluid to sit for 15-20 mins and then remove | **Allow fluid to sit for 15-20 mins and then remove | ||
==Links== | ==Links== | ||
*[[Hypothermia]] | |||
*[[Chest tube]] |
Revision as of 02:56, 1 December 2015
- Active internal re-warming for hypothermic patients
- Consider in
- Severe Hypothermia
- Cardiovascular instability / life-threatening dysrhythmias
- Moderate hypothermia which fails to respond to less aggressive measures
Two Tube System
- Anterior Tube
- Site at 2nd-3rd Intercostal Space at the Midclavicular Line
- Attach to a high rate infuser at 40-45°C
- This tube can be a pigtail
- Lateral Tube
- 4-6th Intercostal space at post-axillary line
- Attach to continuous drainage vis pleur-evac or auto-transfuser
- if using autotranfuser can re-attach to warming line for closed circuit
One Tube System
- Single Lateral Thoracostomy Tube
- Introduce large bolus of warmed saline
- Allow fluid to sit for 15-20 mins and then remove