Thoracic lavage - Revision history

Hkm91450: /* Overview */

2019-05-13T00:14:49Z

Overview

← Older revision		Revision as of 00:14, 13 May 2019
Line 2:		Line 2:
	*Active internal re-warming for hypothermic patients		*Active internal re-warming for hypothermic patients
	*Avoid left sided tubes in a perfusing patient since the heart is irritable.		*Avoid left sided tubes in a perfusing patient since the heart is irritable.
			*Rewarms at a rate of 3°C/hr

	==Indications==		==Indications==
	Consider in:		Consider in:

Ostermayer at 17:17, 1 June 2017

2017-06-01T17:17:06Z

← Older revision		Revision as of 17:17, 1 June 2017
Line 2:		Line 2:
	*Active internal re-warming for hypothermic patients		*Active internal re-warming for hypothermic patients
	*Avoid left sided tubes in a perfusing patient since the heart is irritable.		*Avoid left sided tubes in a perfusing patient since the heart is irritable.
	~~Test~~
	==Indications==		==Indications==
	Consider in:		Consider in:

Ostermayer at 17:16, 1 June 2017

2017-06-01T17:16:49Z

← Older revision		Revision as of 17:16, 1 June 2017
Line 2:		Line 2:
	*Active internal re-warming for hypothermic patients		*Active internal re-warming for hypothermic patients
	*Avoid left sided tubes in a perfusing patient since the heart is irritable.		*Avoid left sided tubes in a perfusing patient since the heart is irritable.
			Test
	==Indications==		==Indications==
	Consider in:		Consider in:

Rossdonaldson1 at 16:47, 1 June 2017

2017-06-01T16:47:51Z

← Older revision		Revision as of 16:47, 1 June 2017
Line 1:		Line 1:
	==~~Background~~==		==Overview==
	*Active internal re-warming for hypothermic patients		*Active internal re-warming for hypothermic patients
	*Avoid left sided tubes in a perfusing patient since the heart is irritable.		*Avoid left sided tubes in a perfusing patient since the heart is irritable.
	*Consider in
	**Severe Hypothermia
	**Cardiovascular instability / life-threatening dysrhythmias
	**Moderate hypothermia which fails to respond to less aggressive measures

	==One Tube System==		==Indications==
			Consider in:
			*Severe Hypothermia
			*Cardiovascular instability / life-threatening dysrhythmias
			*Moderate hypothermia which fails to respond to less aggressive measures

			==Contraindications==

			==Equipment Needed==

			==Procedure==
			===One Tube System===
	*Single Lateral Thoracostomy Tube		*Single Lateral Thoracostomy Tube
	**Introduce large bolus of warmed saline		**Introduce large bolus of warmed saline
	**Allow fluid to sit for 15-20 mins and then drain		**Allow fluid to sit for 15-20 mins and then drain

	==Two Tube System==		===Two Tube System===
	[[File:thoraciclavage.png\|thumb\|Two Tube System]]		[[File:thoraciclavage.png\|thumb\|Two Tube System]]
	*Anterior Tube		*Anterior Tube
Line 22:		Line 29:
	**4-6th Intercostal space at post-axillary line		**4-6th Intercostal space at post-axillary line
	**Attach to continuous drainage via pleur-evac or auto-transfuser (if using autotranfuser can re-attach to warming line for closed circuit)		**Attach to continuous drainage via pleur-evac or auto-transfuser (if using autotranfuser can re-attach to warming line for closed circuit)

			==Complications==

	==See Also==		==See Also==
	*[[Hypothermia]]		*[[Hypothermia]]
	*[[Chest tube]]		*[[Chest tube]]

			==External Links==

	==References==		==References==

Mholtz at 04:30, 11 May 2017

2017-05-11T04:30:58Z

← Older revision		Revision as of 04:30, 11 May 2017
Line 1:		Line 1:
			==Background==
	*Active internal re-warming for hypothermic patients		*Active internal re-warming for hypothermic patients
	*Avoid left sided tubes in a perfusing patient since the heart is irritable.		*Avoid left sided tubes in a perfusing patient since the heart is irritable.
Line 5:		Line 6:
	**Cardiovascular instability / life-threatening dysrhythmias		**Cardiovascular instability / life-threatening dysrhythmias
	**Moderate hypothermia which fails to respond to less aggressive measures		**Moderate hypothermia which fails to respond to less aggressive measures

			==One Tube System==
			*Single Lateral Thoracostomy Tube
			**Introduce large bolus of warmed saline
			**Allow fluid to sit for 15-20 mins and then drain

	==Two Tube System==		==Two Tube System==
			[[File:thoraciclavage.png\|thumb\|Two Tube System]]
	*Anterior Tube		*Anterior Tube
	**Site at 2nd-3rd ~~Intercostal Space~~ at the ~~Midclavicular Line~~		**Site at 2nd-3rd intercostal space at the midclavicular line
	**Attach to a high rate infuser at 40-45°C		**Attach to a high rate infuser at 40-45°C
	**Infuse 200 to 300mL		**Infuse 200 to 300mL
Line 14:		Line 21:
	*Lateral Tube		*Lateral Tube
	**4-6th Intercostal space at post-axillary line		**4-6th Intercostal space at post-axillary line
	**Attach to continuous drainage ~~vis~~ pleur-evac or auto-transfuser		**Attach to continuous drainage via pleur-evac or auto-transfuser (if using autotranfuser can re-attach to warming line for closed circuit)
	~~***~~if using autotranfuser can re-attach to warming line for closed circuit
	~~[[File:thoraciclavage.png\|thumb\|Two Tube System]]~~

	==~~One Tube System==~~		==See Also==
	*Single Lateral Thoracostomy Tube
	**Introduce large bolus of warmed saline
	**Allow fluid to sit for 15-20 mins and then remove

	~~==Links~~==
	*[[Hypothermia]]		*[[Hypothermia]]
	*[[Chest tube]]		*[[Chest tube]]

			==References==
			<references/>

	[[Category:Environmental]]		[[Category:Environmental]]
	[[Category:Procedures]]		[[Category:Procedures]]

Lisayee25 at 21:26, 10 May 2017

2017-05-10T21:26:23Z

← Older revision		Revision as of 21:26, 10 May 2017
Line 1:		Line 1:
	*Active internal re-warming for hypothermic patients		*Active internal re-warming for hypothermic patients
			*Avoid left sided tubes in a perfusing patient since the heart is irritable.
	*Consider in		*Consider in
	**Severe Hypothermia		**Severe Hypothermia

Lisayee25: /* Two Tube System */

2017-05-10T21:25:07Z

Two Tube System

← Older revision		Revision as of 21:25, 10 May 2017
Line 9:		Line 9:
	**Site at 2nd-3rd Intercostal Space at the Midclavicular Line		**Site at 2nd-3rd Intercostal Space at the Midclavicular Line
	**Attach to a high rate infuser at 40-45°C		**Attach to a high rate infuser at 40-45°C
			**Infuse 200 to 300mL
	**This tube can be a pigtail		**This tube can be a pigtail
	*Lateral Tube		*Lateral Tube

Ostermayer: Text replacement - "Category:Environ" to "Category:Environmental"

2016-03-22T14:47:04Z

Text replacement - "Category:Environ" to "Category:Environmental"

← Older revision		Revision as of 14:47, 22 March 2016
Line 25:		Line 25:
	*[[Chest tube]]		*[[Chest tube]]

	[[Category:~~Environ~~]]		[[Category:Environmental]]
	[[Category:Procedures]]		[[Category:Procedures]]

Rossdonaldson1 at 22:34, 3 December 2015

2015-12-03T22:34:47Z

← Older revision		Revision as of 22:34, 3 December 2015
Line 24:		Line 24:
	*[[Hypothermia]]		*[[Hypothermia]]
	*[[Chest tube]]		*[[Chest tube]]

			[[Category:Environ]]
			[[Category:Procedures]]

Rossdonaldson1: Rossdonaldson1 moved page Thoracic Lavage to Thoracic lavage

2015-12-01T15:11:48Z

Rossdonaldson1 moved page Thoracic Lavage to Thoracic lavage

← Older revision	Revision as of 15:11, 1 December 2015
(No difference)