The level of fluid in the fluid column in the chest tube drainage system changes with the respiratory mechanism. Learn how to assess, prevent, and manage air leaks from chest tubes, which can indicate negative pressure disruption in the pleural space Learn how to locate and fix air leaks in chest tube systems using simple steps and tools Find out the common causes and solutions for patient, connector and collection system problems. Thoracostomy tubes or catheters placed in hospitalized patients require a daily assessment to determine the presence of air leak, provide ongoing adjustment of suction level, and monitor for malfunction, which may include obstruction, malposition, or disconnection. Common signs of an air leak in a chest tube include bubbling in the water seal chamber and changes in the patient’s respiratory status
Continuous bubbling indicates an active leak, while changes such as increased respiratory rate or decreased oxygen saturation may also suggest a problem. Demystify chest tube air leaks Understand this common medical occurrence, its origins, and the professional approaches to detection and resolution. Proper chest tube management and ventilator management can help control many air leaks, and transition to an ambulatory drainage device (eg, heimlich valve) can allow a leak to heal while avoiding the morbidity associated with prolonged hospitalization.
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