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  1. #1
    yomy is offline Junior Member
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    respiratory 2 of 3

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    A negative pressure drain (chest tube) has to be inserted into the pleural space. Which of the following is the most effective location for the drain?

  2. #2
    yomy is offline Junior Member
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    respiratory 2 of 3

    A. Apex between the clavicle and first rib
    B. Costomediastinal recess on the left, adjacent to the xiphoid process
    C. Right fourth intercostal space in the midclavicular line (just below the nipple)
    D. Right seventh intercostal space in the midaxillary line
    E. Right eighth intercostal space in the midclavicular line (about 4 in. below the nipple)




    ans -d



    Explanation
    The usual location of choice for a chest tube drain is in the midaxillary or posterior axillary line, i.e., the vertical line commencing at the posterior axillary fold, at the approximate level of the seventh intercostal space. This location is the lowest region of the pleural cavity in the supine position; it is also an appropriate location for a thoracocentesis. The needle is usually inserted just below the level at which percussive dullness occurs.

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