An intercostal catheter is inserted into the left chest and attached to an underwater seal drain following a left pneumonectomy. Now what?
A 36 year-old immunosuppressed male was infected with swine-origin influenza virus requiring mechanical ventilation. Overnight the inspiratory pressures needed to maintain his tidal volume had progressively increased and his face had become markedly swollen.
The house officer looked at the film on the light box and thought of the elderly physician resting in bed across the corridor. Despite two previous chest drains, a pneumothorax persisted around the left lung. To make matters worse, one of the holes in the side of the remaining chest tube was in that ‘no […]