RT Book, Section A1 Gomella, Tricia Lacy A1 Cunningham, M. Douglas A1 Eyal, Fabien G. A1 Tuttle, Deborah J. SR Print(0) ID 1107527358 T1 Chest Tube Placement T2 Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 7e YR 2013 FD 2013 PB McGraw-Hill Education PP New York, NY SN 9780071768016 LK accesspediatrics.mhmedical.com/content.aspx?aid=1107527358 RD 2024/04/19 AB Evacuation of pneumothorax compromising ventilation and causing increased work of breathing, hypoxia, and increased Paco2.Relieve tension pneumothorax causing respiratory compromise and decreased venous return to the heart, resulting in decreased cardiac output and hypotension. This is an emergency that should be handled by immediate needle aspiration before chest tube placement. (See Chapter 70.)Drainage of significant pleural fluid (pleural effusion, empyema, chylothorax, hemothorax, extravasation from a central venous line). Studies have shown that placement of a drainage catheter rather than aspiration alone is more effective and just as safe.Postsurgical drainage after repair of a tracheoesophageal fistula, bronchopleural fistula, esophageal atresia, or other thoracic procedure.