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Chest Tube Placement 1083.e1





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                                                                                                                      Procedures and   Techniques



           CHEST TUBE PLACEMENT  Chest tube in place after lateral thoracotomy for a
           penetrating wound. Tube enters skin at approximately the tenth intercostal space
           (ICS) (large arrow), tunnels under skin for three rib spaces, and enters thorax (small
           arrow) through seventh ICS. Note Chinese finger trap suture pattern to secure tube
           and use of wire to secure tube-to-adapter and adapter-to-stopcock connections.




























































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