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Thoracostomy tube placement – (b) small-bore wire-guided
British Small Animal Veterinary Association , 269 (2024); https://doi.org/10.22233/9781913859145.2.66
/content/chapter/10.22233/9781913859145.ch2sec66
Thoracostomy tube placement – (b) small-bore wire-guided
- From: BSAVA Guide to Procedures in Small Animal Practice
- Item: Procedures A to Z, pp 269 - 273
- DOI: 10.22233/9781913859145.2.66
- Copyright: © 2024 British Small Animal Veterinary Association
- Publication Date: March 2024
Abstract
A small-bore wire-guided tube may be used as a thoracostomy tube to remove air or fluid from the pleural space and for medical management of pyothorax. They can be used for stabilization prior to, or for monitoring and ongoing drainage after, surgical treatment of pleural space disease.
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Figures
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Figure T.10:
Proprietary small-bore wire-guided thoracostomy tube kit with instruments required to secure the drain to the skin, local anaesthetic solution, a 3-way tap and 20 ml syringe. 1= thoracostomy tube with multi-fenestrated tip; 2 = ‘J-tip’ guidewire in protective sheath; 3 = over-the-needle catheter introducers; 4 = dilator; 5 = spare suture wings and locking covers; 6 = needle-free drainage cap. © 2024 British Small Animal Veterinary Association
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Figure T.10:
Proprietary small-bore wire-guided thoracostomy tube kit with instruments required to secure the drain to the skin, local anaesthetic solution, a 3-way tap and 20 ml syringe. 1= thoracostomy tube with multi-fenestrated tip; 2 = ‘J-tip’ guidewire in protective sheath; 3 = over-the-needle catheter introducers; 4 = dilator; 5 = spare suture wings and locking covers; 6 = needle-free drainage cap.
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Figure T.11:
The catheter introducer is inserted into the thoracic cavity via a stab incision in the skin. © 2024 British Small Animal Veterinary Association
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Figure T.11:
The catheter introducer is inserted into the thoracic cavity via a stab incision in the skin.
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Figure T.12:
The guidewire should be threaded through the catheter introducer and into the thoracic cavity. It should be held at all times whilst partially within the thorax. (Courtesy of Dan Lewis and reproduced from the BSAVA Manual of Feline Practice) © 2024 British Small Animal Veterinary Association
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Figure T.12:
The guidewire should be threaded through the catheter introducer and into the thoracic cavity. It should be held at all times whilst partially within the thorax. (Courtesy of Dan Lewis and reproduced from the BSAVA Manual of Feline Practice)
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Figure T.13:
The dilator should be threaded over the guidewire and then advanced through the soft tissues of the thoracic wall. © 2024 British Small Animal Veterinary Association
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Figure T.13:
The dilator should be threaded over the guidewire and then advanced through the soft tissues of the thoracic wall.
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Figure T.14:
The thoracostomy tube should be advanced over the guidewire into the thoracic cavity. (Courtesy of Dan Lewis and reproduced from the BSAVA Manual of Feline Practice) © 2024 British Small Animal Veterinary Association
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Figure T.14:
The thoracostomy tube should be advanced over the guidewire into the thoracic cavity. (Courtesy of Dan Lewis and reproduced from the BSAVA Manual of Feline Practice)
/content/figure/10.22233/9781913859145.ch2sec66.figT.15
Figure T.15:
The thoracostomy tube is secured to the skin by placing sutures through the suture wings and locking covers. © 2024 British Small Animal Veterinary Association
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Figure T.15:
The thoracostomy tube is secured to the skin by placing sutures through the suture wings and locking covers.
Supplements
Procedure video: Thoracostomy tube placement – (b) small-bore wire-guided
This video shows how to place a small-bore wire-guided thoracostomy tube. Please note that, for filming purposes, this procedure was performed on a cadaver. Appropriate aseptic techniques should be employed when performing this procedure.