RT Book, Section A1 Gomella, Tricia Lacy A1 Eyal, Fabien G. A1 Bany-Mohammed, Fayez SR Print(0) ID 1168356313 T1 Chest Tube Placement T2 Gomella's Neonatology: Management, Procedures, On-Call Problems, Diseases, and Drugs, 8e YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781259644818 LK accesspediatrics.mhmedical.com/content.aspx?aid=1168356313 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 75.)Drainage of significant pleural fluid (pleural effusion, empyema, chylothorax, hemothorax, extravasation from a central venous line).Postsurgical drainage after repair of a tracheoesophageal fistula, bronchopleural fistula, esophageal atresia, or other thoracic procedure.