Chest tube to suction?

  1. 0 If a patient has an order for a chest tube to 20cm wall suction does it make a difference if it's connected directly to the suction regulator or if it's connected to a canister (such as a canister for NGT drainage)? Will the suction be the same?
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  3. Visit  traumamomtx30 profile page

    About traumamomtx30

    Joined Nov '07; Posts: 10; Likes: 9.

    17 Comments so far...

  4. Visit  PICNICRN profile page
    1
    I have always been taught to take the canister off when using chest tube sx as the canister creates too much dead space. So, you would just hook the CT directly to the SX regulator and put it on continuous sx until your drainage system goes to 20 cm.
    traumamomtx30 likes this.
  5. Visit  wooh profile page
    1
    We use the canister. Then turn up the suction until you have a "gentle rolling" of the bubbles.
    BelleKat likes this.
  6. Visit  kvsherry profile page
    0
    I have only used the canister. It may be because its getting late, but I'm having trouble visualizing how the hook-up would work without it.
  7. Visit  suanna profile page
    0
    We just hook the chest tube suction line directly to the wall suction. The pleurevac serves as the canister. You set the "20cm" of suction by the pleurevac regulator.
  8. Visit  Nightcrawler profile page
    4
    It doesn't matter which way you do it as it is the level of the water in the chamber that determines the amount of suction. The water can be boiling and roiling away and there will be no more suction than if there is just a light bubbling, so it really doesn't matter whether you use the canister or not
    wooh, BelleKat, GOMER42, and 1 other like this.
  9. Visit  Boston-RN profile page
    0
    We leave the canister in. The chest tube has a dial you set for the amt of suction you want in the tube. The wall could be turned up to 100 but you'll only get 20 if thats what you set it to.
  10. Visit  mpccrn profile page
    2
    doesn't matter if it's a direct line to the vacuum regulator or hooked to a canister....the -20 cm comes from the water level in the pleura-vac. a gentle rolling bubble is all that is required.
    wooh and BelleKat like this.
  11. Visit  meandragonbrett profile page
    0
    Quote from mpccrn
    doesn't matter if it's a direct line to the vacuum regulator or hooked to a canister....the -20 cm comes from the water level in the pleura-vac. a gentle rolling bubble is all that is required.
    You don't have to have a rolling bubble of the water level at all if the drainage chamber has a dial on it to control the amount of suction.
  12. Visit  nurseklw72 profile page
    1
    We make it a habit to connect the chest tube to a canister and the canister is connected to wall suction. We do this for chest tubes to bottles or pleuravacs and for NG suction. We had an incident where someone couldn't remember that NG suction should ALWAYS go to the canister and they set it up so that gastric juice got sucked straight into the wall. YUCK!
    wooh likes this.
  13. Visit  kristen929 profile page
    0
    Quote from meandragonbrett
    You don't have to have a rolling bubble of the water level at all if the drainage chamber has a dial on it to control the amount of suction.
    Right, ones with dials are "dry/wet", meaning no water needed for suction control, just dial it up to the correct level; ones with two water chambers are wet/wet, meaning water needed for suction and for the water seal.

    With the wet/wet ones, the level of the water in the chamber determines the suction amount and gentle bubbling is all you would need (or want, vigorous bubbling will just cause the water to evaporate faster).

    I don't think it matters if the canister is still attached. Just dial the suction up to the point where you get a gentle bubbling in the suction control chamber.
  14. Visit  Nightcrawler profile page
    0
    Quote from meandragonbrett
    You don't have to have a rolling bubble of the water level at all if the drainage chamber has a dial on it to control the amount of suction.
    This is only true of the dry suction chambers that have a dial instead of a water chamber.
    Last edit by Nightcrawler on Aug 18, '08 : Reason: misread original post
  15. Visit  jmgrn65 profile page
    0
    Quote from suanna
    We just hook the chest tube suction line directly to the wall suction. The pleurevac serves as the canister. You set the "20cm" of suction by the pleurevac regulator.
    yea this is how we do it as well.
    but the suction -20cm is regulated on the plueravac or atrium what ever kind you use.


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