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Then reconnect the chest tube to the new drain and unclamp it Air leaks, pneumothorax, and chest drains key points plain pa or ap radiograph generally underestimates the size of a pneumothorax To evacuate pneumothorax secondary to an air leak or als, a chest tube with drainage usually is connected to the pleural cavity

The level of fluid in the fluid column in the chest tube drainage system changes with the respiratory mechanism. Once a chest tube is inserted, air bubbling into the chest drainage system indicates an air leak. Clinical conditions of relevance in anaesthesia and critical care include pneumothorax, pneumomediastinum, pneumopericardium, pneumoperitoneum, and subcutaneous emphysema

This review will cover those related to the chest.

Continuous bubbling of this chamber indicates large air leak between the drain and the patient Check drain for disconnection, dislodgement and loose connection, and assess patient condition. Air leaks in chest tubes can be diagnosed by observing continuous bubbling in the water seal chamber of the drainage system, which indicates air escaping fro. This connection will lead to the development of a pneumothorax as air escapes the lung into the pleural cavity

If this connection persists, there will be flow of air from the lung parenchyma to the pleural space and worsening of the pneumothorax

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