Preface; Contents; Contributors; Chapter 1: Anatomy of the Chest Wall and the Pleura; 1.1 Introduction; 1.2 The Compostion and Margins of the Chest Wall; 1.3 Bony Components and Joints; 1.4 Muscles of the Chest Wall; 1.5 Topography of the Chest Cavity; 1.6 Layers of the Chest wall; 1.7 Nerve and Blood Supply; Literature; Chapter 2: Physiology and Pathophysiology of the Pleura; 2.1 Introduction; 2.2 Functional Anatomy and Biology; 2.2.1 Pleura; 2.2.2 Vessels; 2.2.3 Lymph Vessels; 2.2.4 Mesothelium; 2.3 Physiology of the Pleural Space; 2.3.1 Intrapleural Pressure; 2.3.2 Basics in Physics [4]

2.3.3 Changes in Pleural Pressure During Breathing2.3.4 Pleural Fluid; 2.4 Pathophysiology of the Pleural Space; 2.4.1 Air or Gas; 2.4.2 Pleural Effusion; 2.4.3 Obliteration of the Pleura Space; Literature; Chapter 3: Indications for Draining the Chest; 3.1 General Indication Principles; 3.1.1 Evacuation of Air/Gas; 3.1.2 Evacuation of Fluids; 3.1.3 Redirecting of Fluid; 3.1.4 Pressure Relief; 3.1.5 Expanding Passive Atelectasis; 3.1.6 Application of Drugs Via the Drain; 3.2 Drainage of Air/Gas; 3.2.1 Pneumothorax; 3.2.1.1 Primary Spontaneous Pneumothorax; 3.2.1.2 Secondary Pneumothorax

3.2.2 Iatrogenic Pneumothorax3.2.3 Traumatic Pneumothorax; 3.2.4 Subcutaneous Emphysema; 3.3 Fluid Drainage; 3.3.1 Parapneumonic Effusion and Empyema; 3.3.2 Malignant Pleural Effusion; 3.3.3 Benign Pleural Effusion; 3.3.3.1 Pleural Effusion After Cardiac Surgery; 3.3.4 Chylothorax; 3.3.5 Hemothorax; 3.4 Redirection of a Pleural Effusion; 3.5 Postoperative Drainage; Literature; Chapter 4: Different Kinds of Drains (−Catheters); 4.1 Introduction; 4.2 Materials; 4.3 Drains Shapes and Sizes; 4.3.1 Filters; Literature; Chapter 5: Different Drainage Systems and Philosophies; 5.1 Definitions

5.1.1 Water Seal5.1.2 Heber-Drain; 5.1.3 Bülau-Drain; 5.1.4 Monaldi-Drain; 5.1.5 Heimlich-Valve; 5.2 Drainage Systems; 5.2.1 One-Chamber-System; 5.2.2 Two-Chamber-System; 5.2.3 Multi-Chamber-System; 5.2.4 Electronic Systems; 5.3 Drainage Philosophies; 5.3.1 Negative Pressure; 5.3.2 Vacuum; 5.3.3 Active vs. Passive Suction; 5.3.4 Regulated vs. Unregulated Suction; 5.3.5 Siphon; 5.3.6 Drainage Philosophies; 5.3.7 Management of the Pleural Space; Literature; Chapter 6: Inserting a Chest Drain: How to Do; 6.1 Localization; 6.1.1 Monaldi Position; 6.1.2 Posterior Suprascapular Access

6.2 Informed Consent6.3 Patient Positioning; 6.4 Instruments; 6.5 Different Types of Drains; 6.6 Number of Drains; 6.7 How to Do; 6.7.1 Dressing; 6.7.2 Beginning of Therapy; Literature; Chapter 7: Complications of Chest Drain Insertion and Management; 7.1 Introduction; 7.2 General Considerations; 7.2.1 Patient Related Framework; 7.2.2 Aspects Concerning the Physician; 7.2.3 Framework Concerning Room and Materials; 7.2.4 Imaging/Localization of the Drain; 7.3 Technical Problems When Inserting a Drain; 7.4 Injuries Specific to an Organ; 7.4.1 Injuries of the Chest Wall

This book covers all aspects of successfully treating patients using chest drains, beginning with anatomy and ending with physiotherapy and pain management. The aim of the book is to provide medical professionals with a step-by-step guide to using a chest drain, with specific chapters on indications, kinds of chest drains, catheters, drainage systems, how to insert a chest tube, complications during placement and handling of a chest drain, removing a chest drain, management of the pleural space and post-procedural care. Unlike general thoracic surgery textbooks, this book gives a complete overview of chest drains in clinical practice to ensure the best possible care of patients. .