To remove air and fluid from pleural cavity and aspirate plural fluid for diagnostic studies.
Children who are suffering from infection of pleura.
Insertion of a needle into the pleural space to remove accumulated fluid and air using aseptic technique.
Staff Nurse, Auxillary Nurse, Head Nurse and RMOs.
- Keep the following equipments ready –
- Intra Costal Drainage Set.
- Sterile gloves and mask.
- Betadine scrub solution and spirit.
- Sterile cotton swabs and gauze.
- Sterile Romovac ICD Drain.
- Sterile normal saline.
- Two clamps.
- Trocar appropriate for the size of the child # 8 to # 10 # 12 French for premature infants and upto # 28 French for adolescents.
- Suture packet with needle.
- Surgical blade.
- Adhesive tape.
- Betadine ointment.
- Tincture benzoin.
- Tubes for laboratory analysis for fluid, if needed.
- Emergency trolley (crash Cart).
- Disinfectant for Hand Hygiene.
- Explain the procedure to the parents and obtain written consent.
- Keep required equipments ready.
- Wash hands and apply disinfectant before procedure.
- Assist for Gloving.
- Assist for skin preparation using strict asepsis.
- Assist for the procedure.
- Collect specimen.
- Observe the child for complications.
- Check vitals frequently.
- Inform the physician, if any change occurs in vital signs.
- Apply Betadine ointment and dressing at site of insertion.
- Observe for respiratory fluctuations in the water seal chamber to confirm tube patency.
- Put the child in a comfortable position.
- Check vital signs every ½ to 1 hour for first 4 hours.
- Remove articles from bedside and keep it clean and ready to send it to CSSD.
- Segregate generated Bio-Medical Waste as per the HIC policy.
- Label the specimen, record in the pathology register and send it to pathology.
- Get an X-ray chest done.
- Note any complications.
- Record vital parameters before and after the procedure.
- Any medications administered.
- Size of the tube used.
- Fluctuations in the water seal chamber – Colour and amount of drainage.
- Nurse’s Observation Sheet.