This is just too weird.
This is a real situation that I encountered, see if you can figure it out. A patient had
emypema. He has had a chest tube in for some time. He had gone home with the tube and is now back.
All this time the tube is open to air
At home his wife flushed it with N/S and now we are flushing the cavity with N/S and all the time the patient is conversing with up and experiencing no pain.
Why has his lung not collasped?
I would love it if someone could figure it out. I know the answer but the doc had to tell me. Give it a try and I'll share the answer.
All the while I'm irrigating I hear my teacher's voice Yelling at me that you NEVER put anything in a chest tube and you NEVER let a chest tube be open to atmsopheric pressure.
Jan 8, '02
Let me guess...
The empyema created an adheasion where the lung meets the plura that keeps the lung from collapsing.
Last edit by kids on Jan 8, '02