Indian J Surg (August 2017) 79(4):286–287 DOI 10.1007/s12262-017-1656-5 EDITORIAL C. S. Rajan Published online: 13 June 2017 Association of Surgeons of India 2017 The Intercostal Chest Drain (ICD) is a CRUCIAL vi. Capable Sutures is the use of strong sutures (preferred SAVIOUR for All Thoracic Surgical Pathology is 2/0 Ethilon) to anchor tube to chest wall, after confirming a respiration related swing of the fluid ICDs need safe insertion and proper management. This is level, in the tube going to the underwater seal done by 14 CORRECT STEPS (7 for insertion and 7 of man- vii. Check Snapshot, an immediate bedside, sitting chest agement) that can be denoted by the use of the two letters of X-ray, to confirm entry into chest, and desired effect. ‘C’ and ‘S’  2. Careful Scrutiny (MANAGEMENT)  1. Cautious Siting (INSERTION)  i. Continuous Swing of respiration related oscillations i. Corroborate Side of insertion, by clinical examination in tube below water level, to be ensured, indicating and a recently done chest X-ray, available at the bed tube patency side of the patient ii. Connections Secure, between emerging drain from ii. Choose Site forinsertiononchest wall. The preferred chest, tubing, and the underwater seal
Indian Journal of Surgery – Springer Journals
Published: Jun 13, 2017
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