I had this done in 2007 after i was stabbed in the back three times resulting in a haemopnuemothorax. Words cannot explain how much this procedure hurts. Not just the insertion, but for hours afterwards i remember feeling phenomenal discomfort in my lungs, chest...everywhere. My whole body was just engulfed in excruciating pain despite the morphine. I couldn't sit up or lie down in any sort of comfort. I vaguely remember tears falling down my face and i was moaning. It was so bad it took my mind off the stinging wounds in my back. I was so traumatised, that three years later when i got pregnant to my partner ( not the same person who stabbed me, to be clear!!) I decided straight up to have a planned caesarean as i could not bear the thought of going through hours and hours of labour pain in case it was as bad or worse than the thoracostomy. I hope to God i never feel pain like that ever again. But im grateful to the excellent medical staff for saving my life. Thanks for reading my account of this procedure.

Nursing student here. Thanks for giving me a sense of what my pt had. Reading about it leaves much out, your video was excellent!

I still remember the pain from this procedure. I had pneumonia and my lung collapsed. I remember about 10 people rushing in the room. They rolled me over and held me down. I did not receive any anesthesia and I can say this was definitely the most pain I have ever experienced in my life. Coughing while this tube was inserted was hell. Removal wasn't so painful

Just a quick note: Always and I mean ALWAYS insert your finger and inspect digitally the thorax cavity! Adhesions are always a bad surprise, but putting the tube into the lungs or in the abdomen is a disaster.

Content was great & straight to the point!! Huge help with my studies!

Im here rn with a chest tube in the hospital ongoing for 3 days prayers for me thou 🙏🏽

It's really helpful , I am a nursing student and thanks to you I get to know about the demonstration of this procedure 😊

This was amazing. Thank you. Content is just right.

I love everything about what I saw especially how the required steps information for the procedure was listed. I did observes my first case today. Thanks for adding up to my knowledge ❤❤❤🤝

RN student here and thank you for providing important information.

This was the most painful thing I've ever experienced. I had a significant amount of fluid that was impacting my heart and lungs. Pneumonia and blood clots were the cause for the mass build up of the fluid. Coughing while this is in, hurts like absolute hell! It caused some lung damage. It hurt when it was taken out too. My stomach felt like it was burning (possibly because it was empty.... I kept throwing up any time I ate something.) My shoulder and rib area felt like it was being ripped apart. I wouldn't wish this procedure on any one. To anyone who has had it recently, I hope your healing is going well. 💜

Very nice. The anchoring suture is wrapped around the tube not also "through". Anchoring so that it is impossible for the tube to be accidentally advanced is extremely important to prevent infection.The tube is occluded during placement. As you pointed out, the instrument used for thoracostomy is passed over the inferior rib so as to avoid the intercostal vessels and nerve. Also the more anterior the placement, the more those structures are jeopardized. I would always apply an iodine ointment barrier at the puncture site before applying the dressing materials.

Very precise video & to the point , great work guys , thank you ! 😄

Just right and very helpful... Thank you so much for making such videos...🙂

Very nice and comprehensive demonstration. Thank you so much 😊💕.

Chest tube installation is one of the most important operations we perform in an emergency if the lung stops working or there is a rib fracture that affects the efficiency of the lung function

Great visuals, this makes the procedure easy to understand.

One of the Best educational videos🖒

Content was straight to the point

Animation is the best part of your video,thanks

Great video as well, At least it gave me a clear visual of what the procedure should look like.

a very good presentation, I would like to see it on a real patient, thank you.

Very simple and easy way of presentation.Good.

Thank you for sharing the good content, however, me being a learner i could only say it was helpful and easy to understand. Thank you.

This video is great, everything is clear 😍 thank you so much 🙏🏼

The length of the video is just right👌

I have been watching this while having dinner. This is awesome.

Thankyou for animated video and explaining in detail...it was much easy to understand through your video than reading from the book. Keep up the good work. Love from PAKISTANI MBBS student! 🇵🇰

Very informative, thank you for nice and helpful demonstration

Thank you. The content is just right.

Amazing demonstration

It was great video for student nurses to understand. Thanks

I had necrotizing pancreatitis and developed severe fluid build up. I had a large aspiration incident of around 2 liters into my lungs. I developed ARDS and was eventually put onto ECMO. After surviving severe sepsis, ARDS, abdominal compartment syndrome and 2 codes I was sent to ICU and they put a chest tube in. The pain was intense but nothing like pancreatitis itself.

good tutorial.... easy to understand, appropriate length

great demonstration, thank you very much. :)

Thanks for such a beautiful video. Very understandable 😍

Very good explained, thanks a lot

I love your videos-!!!

Excellent video. Thanks.

It's very important. Thank you

I had this a month ago i still feel the pain by the tube but i am recovering now please take care of your lungs i swear you will not want that to be inserted in your body for as long a a month

I had this as 12 years old- thankfully I was not awake for this process. I do remember that it was painful during my recovery- I ended being allergic to the suture itself- I scratched on the tube, it fell put, had to reinsert it with different suture then I was fully done with the tube.

Smaller bore tube thoracostomy via a Seldinger technique is far less traumatic and/or painful. Most fluid collections/air drain effectively unless a very thick pus as in empyema is present. This technique also allows for pre-insertion aspiration to confirm presence and location of effusion.

thanks you, the content is simple

I like everything Everything is perfect Thank you so much

It's very well demonstrated🙏

yeah i had pneumothorax about 5 times myself back to back but thankfully my last surgery seems to have fixed it for good the surgery was always painful and waiting in the hopsital with a tube in your chest was painful too thankfully i havent had it anymore and it seemingly fixed for good

Great video! Thanks. Thanks for what you guys do.

Thanks for the video❤️ Please make more Videos.

An awesome video using a non living patient that doesn't'take one for the team'. No one is suffering and all learning. No ethics dilemma. Thank you for the humanity

I had two tubes on my left and one on the right. The most agonizing pain of my life!

Many thanks for the post.

This is Soo helpful for my upcoming exams

It is very very good for understand. & thank you

Totally complete video...👍

It’s a very nice and informative video 😊

Very good and informative

thanks a lot . it was very helpful

Laying in my hospital bed with a chest tube inserted, going on day 3. I'm alone because of the caromavirus but seeing these comments gives me some comfort that this will end soon.

Nice video amd simple to understand

Great video 🖤

Very good nd easy way to explain

Perfect summary

Nice demonstration

Enjoyed the simplicity and good sound presentation

I just had mine removed today!! 💜💜

Fantastic videos

Great video👌

I would have liked to have seen the nurses role in the procedure and the care during the period of time the chest tube is in.

Really it's good lectures

Thank you so much.

I had three chest tubes going it has been three weeks after i got discharge and it still pretty hard go walk and to breath , im feeling better now but i feel like this is going yo take a real long time to heal a 100%

I love it😍😍 thanks😘😘😘

thank you very much

Good presentation

It was a very good video. you didn't however mention about , the positioning of the patient, : The patient should be supine on table with arm above the head.. Also, Incision should be 2-4 cm.

It was a very nice video.

thank you so much

thank you 🙏💚

Very helpful thank you

to all the nursing students on here, i am a recovering addict. had to get this procedure done due to trauma on the lungs. i ended up almost dead because the emergency room doctor in my small town would no longer listen to me as a human being he just assumed i wanted pain meds because i was an addict in the er. i went once a week and kept getting misdianosed until one day i got lucky and got a different doctor. she was my saving grace. my lungs were filled with fluid. my oxygen levels were so low i was on the highest amount of oxygen they could give me. i was rushed to another hospital and was immediately prepped for surgery. i was on a morphine pump norcos tramadol. it didnt touch the pain. unfortunaely for me i had to take dilauded instead of the morhine because i was still in so much pain after the surgery. it was the worst time in my life. the moment they took out my chest tubes they took me off all pain meds besides norco and tramadol. i was to go home with both. before i left the doctor told me they didnt feel comfotable giving me vicodin because they didnt want me to relapse. mind you i had not been weaned. two minutes before i walked out the door the doctor took the script of norco and said all i could have was tramadol. i was in so much pain i couldnt walk. i used a walker for a month. anyways i went to the pharmacy and went to fill my script. the doctor cacelled the tramadol too and left me with nothing. i understand i was an addict, but i couldnt even feel a vicodin because my tolerance was so high. so basically the hospital kept me doped up and let me leave to go home and suffer. the pain was so bad i didnt sleep for a week straight. i had to sleep sitting up. if i got any. i cried on the way hoime to my mom and told her i didnt want to get high anymore. i really didnt. but i had no choice but to go out and buy heroin because the pain was unbearable, not to mention the pain from the opiod withdrawls was just beginning. i tried to make it thru the night but the tykeonal and ibuprofen did nothing. the heroin relived alot of thet pain but i had to use a lot and frequently just to be able to properly function. the next day i had decided i had had enough i didnt want to use and i hated the hopsital for not having a heart and making me suffer so. i take responsibilty but id rather give birth over and over again than ever have to go through that again. i tried to take my life the next night. i didnt have a job i didnt want to be a junkie anymore and the pain was so unbearable i culdnt take it. addicts are humans. yes we should feel some pain as a reminder so we dont make that choice again. we should feel a little something. but everything. i have severe ptsd and i hate going to emergency rooms. please remember we are humans just like you. please have a little compassion the next time u treat an addict. I am so glad i am alive. that was 6 years ago. i am a year clean and in college to be a Recovery Support Specialist. There is hope.

Very good thanks

I was at the hospital for 15 days with a Pneumothorax which made my lung collapse. Fortunately I did get anesthesia but I can tell you…coughing,sneezing(if you even can) or any subtle movement is hell hurts like crazy. I had it for 13 days inside me it was the more uncomfortable 13 days of my life but it saved my life at the end of the day

Love it thanks

Good, keep going on

Good explanation

It was helpful thnk you.

Thank you for the clarity of the information. The speed was ok. But more detailed information could be appreciated.

where possible it is advisable to have patient hooked up to cardiac monitor during this procedure.

THANK YOU

Excellent!

Although I am not a pediatric nurse, this is a very good video!

So just recently in the past year i spent a month in the hospital due to chylothorax. I got curious on how they inserted my chest tube, and here i am.

it's amazing i understood

Thank You

Thanks for the video, but I would wish to see ggreater details on placement, clearly explaining the need to avoid nerves, directing the tube to the site, the aseptic and anesthetic technique should used, and how to avoid pulmonary edema, tube blockage, air leakage, etc

Excellent

Thank you

thank you

I love the video