Log in 
Contact us 
Top Features
Self Test
Top 100 Diseases
Case Studies

Free Stuff
Survival Guides
Videos & Animations
Practical Procedures

Play Games

Practical Procedures
Back to Practical Procedures

Chest drain removal

Once the mattress sutures are in place, removal of the drain is straightforward.

Seldinger drains

  • Dressing pack
  • Sterile scissors
  • Sterile gauze
  • Chlorhexidine/iodine for cleaning

[back to top]

  • Remove dressings from around the drain.
  • Clean the entire area with iodine or chlorhexidine.
  • Cut free the ties to the drain from side sutures, but do not untie the sutures holding the skin together.
  • Ask the patient to breathe in deeply and expire fully. Get your assistant to pull the drain out while you pull the central suture tightly closed.
  • Tie the suture. Clean and dress the area, using sterile gauze.
  • Repeat the chest x-ray.
  • Remove sutures at 1 week.

[back to top]

  Seldinger drains

Newer drains, which are smaller and inserted like ascitic drains, are being introduced – especially for pneumothoraces – and are less traumatic for patients and doctors alike.

[back to top]

Copyright © 2014 Elsevier Inc. All rights reserved. Read our Terms and Conditions of Use and our Privacy Policy.
For problems or suggestions concerning this service, please contact: