What equipment is needed to perform a tube thoracostomy for the treatment of hemothorax?

Updated: Jul 13, 2020
  • Author: Mary C Mancini, MD, PhD, MMM; Chief Editor: Jeffrey C Milliken, MD  more...
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Answer

A tube thoracostomy tray or kit should be readily available in every hospital emergency department. In adult patients, large-bore chest tubes (usually 36-42 French) should be used to achieve adequate drainage. Smaller-caliber tubes are more likely to occlude. In pediatric patients, chest tube size varies with the size of the child. In patients older than 12 years, the chest tube size used is usually the same as that for adults. In smaller children, a 24- to 34-French chest tube should be used, depending on the size of the child.


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