Article thumbnail

Hazards of tube thoracostomy in patients on a ventilator

By Kasra Shaikhrezai and Vipin Zamvar


A patient with post-pneumonia empyema complicated by type-2 respiratory failure required mechanical ventilation as part of his therapy. A pneumothorax was noted on his chest radiograph. This was treated with an intercostal chest drain (ICD). Unfortunately, he was still hypoxic, his subcutaneous emphysema was worsening and the ICD was bubbling. A computed tomography (CT) scan of chest demonstrated that the ICD has penetrated the right upper lobe parenchyma. A new ICD was inserted and the previous one was removed. Although both hypoxia and subcutaneous emphysema improved, the patient chronically remained on mechanical ventilation

Topics: Case Report
Publisher: BioMed Central
OAI identifier:
Provided by: PubMed Central

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.

Suggested articles


  1. (1995). Arsiwala S: Chest tube insertion in the ventilated patient. Injury
  2. BTS guidelines for the insertion of a chest drain. Thorax 2003, 58(Suppl II):ii53-ii59.
  3. (2010). Chest drain insertion is not a harmless procedure - are we doing it safely? Interact CardioVasc Thorac
  4. Guidance for the implementation of local trust policies for the safe insertion of chest drains for pleural effusions in adults, following the NPSA Rapid Response Report. British Thoracic Society ,
  5. (2010). Intercollegiate Surgical Curriculum Programme. [ home/assessment_sdops.aspx],
  6. (2010). Turkington PM: Survey of major complications of intercostal chest drain insertion in the UK. Postgrad Med