Page 496 - Clinical Application of Mechanical Ventilation

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intrahospital transport transbronchial needle aspiration
lidocaine biopsy (TBNAB)
operative tube thoracostomy transport ventilator
three-chamber drainage system trocar
transbronchial lung biopsy (TBLB) trocar tube thoracostomy

Learning Objectives

After studying this chapter and completing the review questions, the learner
should be able to:
Describe the clinical application, setup, and discontinuance of a three-column
chest tube and drainage system.
Describe the indications and medications for fiberoptic bronchoscopy.
List the type of specimen obtained from a fiberoptic bronchoscopy
procedure.
List the complications of fiberoptic bronchoscopy.
List the indications, contraindications, equipment, and supplies for transport
of a mechanically ventilated patient.
Describe the procedures for intrahospital and interhospital transport of a
mechanically ventilated patient.

INTRODUCTION

This chapter covers three clinical topics related to mechanical ventilation: chest tube
and drainage system, assisting in fiberoptic bronchoscopy, and transport of mechani-
cally ventilated patients. A sound conceptual foundation and working knowledge
of the equipment and supplies for these procedures can ensure patient safety and
enhance patient care.

CHEST TUBE AND DRAINAGE SYSTEM

Chest tube (thoracostomy tube) and vacuum drainage system are commonly used
chest tube (thoracostomy
tube): A tube that connects the in acute care settings on patients breathing spontaneously or receiving mechanical
pleural space and drainage system ventilation. Respiratory care practitioners should have a good working knowledge
for removal of air or fluid.
of these devices so that hazards and complications with the chest tube setup may be
recognized and corrected without delay.

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