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To evacuate pneumothorax secondary to an air leak or als, a chest tube with drainage usually is connected to the pleural cavity If an air leak lasts 5 to 7 days, it is termed a persistent air leak (pal). The level of fluid in the fluid column in the chest tube drainage system changes with the respiratory mechanism.

Thoracostomy tubes or catheters placed in hospitalized patients require a daily assessment to determine the presence of air leak, provide ongoing adjustment of suction level, and monitor for malfunction, which may include obstruction, malposition, or disconnection. Although a majority of pneumothoraces resolve with thoracostomy tube drainage, many continue days after the lung injury Fortunately, many air leaks are not from the patient’s chest, but from a plumbing problem

Here’s how to locate the leak.

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. Chest tube air leaks are a common complication associated with procedures involving the pleural space, such as chest tube insertion, thoracic surgery, or the treatment of pneumothorax The pleural space is the potential cavity between the parietal and visceral pleura, which are thin membranes that surround the lungs. The ow of air through fl the stulous tract into the pleural space delays fi healing and inhibits lung expansion

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