Had a guy who aspirated his own vomit when he was drunk, ended up with empyema, loculated fluid collection, all out white out left lung. Five chest tubes. He was in the OR for a trach when I came on the other night, but he came back with 2 jp's draining the abscess around his trachea (pure purulence) and pleuravac draining a pericardial abscess instead. My colleague and I were, somewhat morbidly, betting on his survival. I've had two other pts with five chest tubes who both died. One was virtually brain dead and the other had severe pulmonary co-morbidities. (that's a fancy way of saying bad COPD.) Wondering if you fabulous ICU RN's out there have any bright ideas about this poor man's chances? I'd like to see him make it. I really would.