Technique Introduction and Checklist

In this section you will cover:

  •     Infiltrating local anaesthesia
  •     Incision and blunt dissection
  •     Insertion of the drain
  •     Fogging of the tube
  •     Securing the drain
In your preparatory checklist, there are four points to consider before you start:
  • Does your patient really need a chest drain? Reconsider the indications – might observation be more appropriate? Review the clinical signs and chest x-ray
  • Check your marked site of insertion is correct
  • Whilst you will be concentrating on the skill of chest drain insertion, ensure that a team member is concentrating on the patient and patient’s monitor, particularly in unstable cases
  • It is a strictly aseptic technique from here so ensure eye protection, sterile gown and gloves