Mar 13, 20188 yr What happens if you do not add water to a chest tube to gravity only? I had a patient with a hemothorax. Anterior chest tube draining well to gravity in an Atrium set up with no water in it. More Like This General Nursing G Tube Fell Out 4 Replies Active 06/30/2026 01:00 PM
Mar 13, 20188 yr well, that puts them at a huge risk of developing a pneumo. I would report that as a safety event
Mar 13, 20188 yr The water is a protective seal, as above poster responded, pneumothorax possible, if suction disconnect
Mar 13, 20188 yr Expert What happens if you do not add water to a chest tube to gravity only? I had a patient with a hemothorax. Anterior chest tube draining well to gravity in an Atrium set up with no water in it.Do you mean there was no water in the water seal chamber or the suction control chamber? Could it have been a dry system? Like this?atrium oasis - Google Search
Mar 14, 20188 yr Author Yeah he transferred to me with no water in the water seal. Some nurses were saying it's okay bc it's just to gravity and said it was a "dry system". So we were curious.
Mar 14, 20188 yr Here's some cool reading that also explains why not using the water seal feature is so dangerous...http://www.atriummed.com/EN/Chest_Drainage/Documents/Ocean-BlueHandbook-010140.pdf
Mar 14, 20188 yr Do you mean there was no water in the water seal chamber or the suction control chamber? Could it have been a dry system? Like this?atrium oasis - Google SearchAs far as I can tell, even dry systems use the water seal in their systems. I thought dry seal meant that if the drainage system was knocked over accidentally that the accumulated fluid could easily be "dumped" back into the measuring chambers...Wet or Dry Suction?
Mar 14, 20188 yr Expert As far as I can tell, even dry systems use the water seal in their systems. I thought dry seal meant that if the drainage system was knocked over accidentally that the accumulated fluid could easily be "dumped" back into the measuring chambers...Wet or Dry Suction?Yes, that's why I asked for clarification as to whether it was the water seal chamber or the suction control chamber. The dry ones don't have a suction control chamber they have a dial and it sometimes confuses people who are used to the older set-ups.
Mar 20, 20188 yr Here's some cool reading that also explains why not using the water seal feature is so dangerous...http://www.atriummed.com/EN/Chest_Drainage/Documents/Ocean-BlueHandbook-010140.pdfFascinating. Thank you!
What happens if you do not add water to a chest tube to gravity only? I had a patient with a hemothorax. Anterior chest tube draining well to gravity in an Atrium set up with no water in it.