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Course Info

About this Course

This course is directed towards medical students who are keen on learning about chest tube thoracostomy as well as health-care professionals who are involved in its management at the hospital setting. Tube thoracostomy or chest tube drainage, is a life-saving procedure, performed using a flexible plastic tube, mainly in the Emergency Unit as well as in the Ward. This course will familiarize the students on the relevant anatomical knowledge which includes the surface anatomy of the thorax, the relationship of the neurovascular structures to the ribs as well as structures within the thoracic cavity and upper abdomen. It will review the indications and complications of the procedure, the steps undertaken as well as the instruments involved during its insertion. Most importantly, this course will focus on the safe-guards and pitfalls pertaining to the procedure to ensure a safe and proper placement for the patient.

Course Syllabus

Clinical Anatomy
1.1 Surface Anatomy of the Lateral Chest Wall
1.2 Layers of the Lateral Chest Wall
1.3 Anatomical Structures of Concern During a Chest Tube Thoracostomy
1.4 Quiz 1


Indications and contraindications
2.1 Indication
2.2 contraindications
2.3 Obtaining an informed consent
2.4 Quiz 2

Radiological Imaging
3.1 Radiological landmarks
3.2 Clinical conditions
3.3 Normal placement of chest tube
3.4 Quiz 3


Insertion of chest tube
4.1 Instruments for chest tube insertion
4.2 Steps for insertion of chest tube
4.3 Post-procedural observation
4.4 Video : Chest tube insertion
4.5 Quiz 4

Removal of chest tube
5.1 Instruments for removal of chest tube
5.2 Steps for removal of chest tube
5.3 Post-procedural monitoring
5.4 Video : Removal of chest tube
5.5 Quiz 5

Complications
6.1 Complications
6.2 Management of complications
6.3 Table of management of complications
6.4 Quiz 6


Feedback and video assignments
7.1 Feedback
7.2 Video Assignments

Frequently Asked Questions

Q1 : What is a chest tube/ tube thoracostomy?
A1 : Chest tube or a tube thoracostomy is a flexible plastic tube used mainly in the management of life-threatening medical emergencies, such as a massive haemothorax and tension pneumothorax, in a Hospital setting. It is removed once the affected patients have fully recovered from the condition.