Managing Chest Drainage

[kosterchick1]

Your videos are awesome! Huge thank yous!!!!

[micfroggy]

Amazing video. Thank you!

[Negrane0868]

Awesome explanation! Thank you so much!!!

[juga06]

WOW! Throughout my nursing program they barely mentioned the chest tube drainage system, this is extremely helpful and easy to understnd!

[snappingpictures]

Thank you so much for posting this. I had trouble understanding chest tubes through out nursing school and now I understand it! Thank you so much this definitely helped me for boards and to protect my future patients.

[kleddy]

Wow, in a few houres i have my Intensive Care exams, this will help me soooooo much!

[drcrutch]

I think this is a good video. However, it is not clear that there is no "suction" applied to the patient's lung. When the nurse "increases" the wall suction, the patient is "protected" by the water seal chamber from any increases in wall suction. The "negative pressure" which exists in the system (prefer "negative pressure" as opposed to using the term "[active] suction") is related to the level of water in the water seal. No suction is ever applied to the pleural space.

[TheAnaRayAna]

Our senior year nursing lab class utilized this video. Great job. Even our professors profess lol.

[slblanchette]

This really helped me understand chest tubes!

[cleeyah]

wow! you are awesome! thank you for this!

[Natty4512]

Soooooo.... why does the first bottle system show bubbling in the water seal but later in the video it states there should be no bubbling in the water seal? If air is coming out of water how does it not bubble? Where the hell does it go? Did Houdini make this system?

[ed4nurses]

@Natty4512 The water seal is a one-way valve that allows air out of the pleural space, but not back in. Air will bubble in the water seal when air is removed from the tube. Air is not normally in the pleural space, so the water seal should not bubble. When removing a pneumothorax air is being removed from the pleural space and air will bubble in the water seal. The short story is that bubbling is not normal, but would be expected when removing a pneumothorax, or when there is an air leak.

[TheAngelsweet143]

@Natty4512 : how can i saved this video to my usb? thnx

[triseanamy]

@TheAngelsweet143 You need to download a youtube downloader and then after that just copy and paste the link from youtube video. The direction from the "downloader" is easy to follow.

[gi2bull]

@Natty4512 I am a student but based on the diagram I surmise that in the case of pneumothorax, the air from the pleural space will initially produce bubbles in the water seal. Once majority of the air are removed, bubbling will taper off and would finally stop. A steady and prolonged bubbling in the water seal will mean that the suction is taking air from a leak instead of from the pleural space.

[icequeendome]

wow so much better than how the book explains it.

[jujubrandy]

WONDERFUL presentation!! Thank you Ed4Nurses!! :)

[slickray9402]

Thx!

[YUSHIU5]

Thank you so much! This is the best explanation ever on chest tube drainage system. I finally got it.

[ogpowell1]

Awesome! The first time I actually "got" chest drains...if you're a student, these videos are priceless

[lovememonin]

The best explanation which I heard so far, it is even better than my textbooks and well my tutors 

[kinsky89]

very well explained! nice work!!

[wafstomtammy]

Great! Thanks! Much easier to grasp this way than from the textbook.

[chrisazod]

This is awesome!

Chris

[mlpb20]

Thank you! This is very helpful! Keep it up! God bless! :-D

[bornplaydie]

Wow, this makes it so clear!!! Thank you x 100

[selenedua]

This is a great video but i have a question. If tidaling stops in the seal chamber what do you do next?

[thapar20]

I liked the video. But Got a question. If the bubbling stops in water sealed chamber, it means either the lungs have fully expanded or there is kink on the drainage system. Is this right coz when I was doing the same question, the answer was "verify xray if lungs has been fully expanded." n another thing, can u please tell me how to identify if there is problem with the each system. Thanks

[Miissrachelv]

This is a really great explanation ! Chest tubes have always been confusing to me for some reason. but this explanation made it incredibly easy ! Thank you!

[CarleneYO]

thank you!

[aderibigbe1]

thank you big time. I am a foreign-trained nurse and sometimes it is difficult to understand the medical equipments here in the US. I am really grateful for this video

[DrAli911]

thank you , great explanation

[OKREME1]

Thank You

[lovemelma]

thanks in a million!!!!!!!!! :))

[blafgirl]

stupendous

[greensleaves7]

This is so helpful! Thanks man!:$

[ibnmikal]

Dude you are simply inspiring!

[mbonhomme]

Excellent! Thank You

[gleof06]

thank you .. but should we drain the bottle once it is full.?

[Suavecito64]

This video is very simple to understand...Thank you sssooo much!!!!

[maryjussi]

Thank you so much!!!!!!!!! It was really helpful and super well explained!!!!! Thank you!!!!! ;-)

[joeandserly]

Thank you so much. God bless!

[subpoprec]

That's some serious intro music.

[668cerviel]

it helps a lot... :> thanx

[0nevergiveup0]

great video, clarifies a lot :-)

[akanurse11]

Great video!

[drumaboy200]

excellent video!

[hillegass3]

This was very helpful, I understand it much better now. Thank you!!

[elee0903]

Very helpful, thank you

[pocketsize411]

this was really helpful! thank you so much!

[melofshanoah01]

This was an awesome explanation! Thanks so much!!

[ed4nurses]

Just to clarify: there should be movement up and down with ventilation in the water seal chamber. When movement (tidaling) stops it indicates an obstruction to the system or tubing. Tidaling will continue as long as the system is patent, even if the lungs are fully expanded.

[Abikuttan]

@ed4nurses thank you for your time, this was helpfull :)

[Annneeeka]

when there is no up and down movement in the water chamber, it means its either there is an obstruction or the lungs have fully expanded :)

[hoeslush]

Great job teaching this!

[deedeedan3]

This is great! I've been confused about chest tubes since none of my patients in clinicals had one, and various articles haven't helped much. Watching this helped it finally make sense.

[TheAnupama22]

a very very knowledgeable video

[nycolea13]

I LOVE these videos ! They explain confusing concepts in a simple easy to understand manner. Thank you SOOOOO MUCH !

[CarolineJDillard]

Preparing for my boards and this was a great way to recap/trouble shoot malfunctions!

[pickup03]

thank you very much this video was very helpful in clearing up some of the difficulties i was having with chest tube draining systems

[knightmanda]

Great video. Super helpful. Chest tubes have always been a little confusing since I have never had the chance to have a patient with one. This was a great way to learn how and why each part of the system is working the way it does. Many thanks.

[riecel]

 tomorrow's gonna be my return demonstration in CTT care and this has been really helpful! :)

[babyko0214]

thank you:-) hope to see more informative videos...

[mnagel70]

wow, very very informative and easy to understand, just in time for exam next week

[dmhoops]

thank you so much, great explanation, very thorough I'm ready for my test on Monday whooooooo!

[yamon05]

You're awesome!

[meangurl1985]

you're doing a great job helping nurses. I hope to see more videos

[yubz16]

thanks..=)

[namunadharel]

Good job Thanks Mr woodruff

[byzrdumb04]

That was GREAT! Thanks!

[tinyshafi]

thanks

[tigreletigre]

very thorough, you are fantastic thank you!

[tesak2]

Best video really clarified the system for me... i was confused after lecture and this really shows it great.

[pannam1]

thanks for video... I send this video to residents in training

[mmuruatetu]

You are awesome, the explanation makes so much sense..Thanks..

[sdjenny]

Thank you so much!  I love this, it is so helpful!

[chefdowda]

You rock mr. woodruff

[iderick83]

thanks alot, now i understand how it works.

[classic1333]

thank you so much, i think I'm finally understanding this concept

[yamon05]

You opened by eyes! Thank you!

[samuel8955]

Awsome! Thank you so much.

[MegaDrake19]

Thank you Mr. Woodruff.....

[dmarie1220143]

Thank You!!!! Thank you! Thank you!

[honumom]

Thank you, Mr. Woodruff! Very clear presentation and I completely understand it now!

[patricia4134991]

THANK YOU!

[folicacid9]

Thank you for posting this video Mr. Woodruff. Your presentation was very clear and informative.

[microporetape]

whoah! very nice presentation! :)

[justynaalexe]

Perfect explanation!!!! REALLY helped me a lot as a practicing nurse. Thank you. More power.

[MrPaulnurse]

great video!! perfect explaination

[darkeningcloud7]

a really nice video... helps me alot for my report. thx

[zinamarlyn]

thanks...a very clear explanation...

[mstrode4449]

im a surgical intern and this is the best explanation I've ever heard! Thanks!!

[7tigerland]

wow, much better explanation than what I've encountered before

[Calyx84]

great

[godfreyc1000]

awesome

[52689prettyflo]

nice video...

[blai81]

Fabulous video and explanation! it even helps medical students as this was not well taught in medical school; and yet students always get asked about chest drains in exams and ward rounds!!

[utopiandreamer86]

EXCELLENT, this makes managing chest drainage seem so simple. I'm not a nurse, but I'm a respiratory therapist, and this is a very important concept for us. Thanks for another great explanation.

[xhypn0tizedx]

great explanation. thanks for this!

[sandroeleven]

This is driving me crazy. Why does the nursing manual say there should not be any bubbling within the system yet in real life the system does bubble?

[spatemdim]

Great!  Best explanation I've heard so far.

[jmk92388]

this is a great video!!!

[gcd5876]

This was a wonderful video. Thank you so very much! I am going to pass this one on!

[jdy234]

That was the best explanation! Thank you for posting.

[serene9a1]

Brilliant !!!

[robinp05]

Thank you so much.... you have no idea how much chest tubes have been confusing me. Preparing to take the NCLEX and this has clarified everything. If only everyone could explain it in such an easy to understand way.

[badaful]

Makes so much more sense to me! Thanks for posting!!!

[i0808]

This is excellent! thank you for posting !

[skaeok]

Learned about this in class today, and it was confusing. Watching this video cleared the workings and functioning right up! Thank you!

[blackhawkwyy]

damn!!!!!!!!!! extraordinary explaination!!!!!!!!!! thank you very much. My book sucks.

[yellowlilies86]

Love the music, hahaha. Very informative!

[aiLOVyoo]

i learned more in this video than in my classes... how crazy...

[weedthelen]

Hey LOS CODOS!!!! This video is better than the one in the lab!! And you can watch it with your pjs on.

[lovelynurse10]

thank u so much

[LuvScrubs2]

This guy is an awesome instructor.... I used alot of his visual animations and explanations to help me through Nursing School. I recently took an Exit Hesi this month and passed it big time. I am using his concepts along with the Saunders Textbook to prepare for the NCLEX exam... I wanted to say Thank you Mr. David for everything :))

[zapitalin]

@LuvScrubs2: i'm doing my cardio rotation as RN student now, any recommendations of other videos? thanks & good luck w/ the board!

[aehc83]

Great video!

[miang2xable]

thank you! from yet another visual learner.

[lalatyty07]

Fantastic video, Great Explanation !!!

[corriedf]

well done!

air leak means TEMPORARILY clamp the tubing (clamping prevents the escape of air and fluid, which increases risk of tension pneumothorax so do it quickly) with padded clamps and assess if bubbling continues or if bubbling stops. if bubbling ceases, air leak is inside the patients thorax or at chest tube insertion site and must notify MD IMMEDIATELY if bubbling stops locate and tape air leak in hose

[HAWX9]

Great Video! If there are air bubbles in the 2nd chamber (air leak) then what is next most appropriate step ?

[dee122381]

Wonderful video! Thank you!

[wtfusername666]

wow this was such an amazingly easy to understand explanation!!! Thank you!!!

[phluteloop]

This helped so much, thank you! Just about ready for that test coming up. ;)

[efriedlander]

GREAT EXPLANATION!!

[kevin23226]

Thank you for making this so simple.

[bronzedchika]

great videos!!! very helpful. keep it up. thank you for sharing and more power!

[mmcclem]

thanks!! hope it helps me for the NCLEX next week!

[sboliva]

Outstading. i definetaly learned a lot !!! thanks!!!

[dprojam]

greatly appreciate it!

WELL DONE!

i understood it now!

[DianaCMcC]

good review

[ben2sideup09]

very nice for my practical exam tomorrow..

tnx..God bless!!

[afran019]

thank you! you're awesome at keeping things clear and concise!

[dt42486]

Wow,, i graduate in 2 days, and the instructor that we have is not very good at explaining things. I finally gave up on her and crossed my fingers in hopes to find a video on chest tubes. WOW,, you are great!!!! thank you so much for explaining it in a way we all can understand. You might have just saved me on Boards!!! You are awesome!!!!

[stand4whatisright]

great dude!!!!!! thx,,,,,,,,

[paulbryan21]

thanks really helped a lot!.

[helloareyouthereIsay]

Very informative! Thank you so much!

[rootcannal815]

thank you, you rock!!!!

[missymiss209]

thanx for the video.. very clear and easy to understand! i have a nursing comp exam next week too :(

[comerunwithme]

wow SO CLEAR... ;) love this!!!

your voice isn't boring either, pulls me in!

[lovelyscented2]

I'm a nursing student and I have a competency exam next week ..so this is very helpful.Thanks a lot.

[missymiss209]

good luck!!

[werydewte]

this is very nice, thanks

[LeannaMast]

thank you so much this was awesome!

[werydewte]

ver nice. thanks!

[elijahdomingo]

very helpful! thank u

[HGarcia1195]

You are amazing. All your videos are so helpful. Thanks for providing this!

[willykid83]

thank you much :)

[isuau1815]

thanks, i finally understood what is the mechanism of the chest tube! will you show how to set the chest tube prior to incertion? please

[kathlynrocks]

Great explanation...

It will really help nursing students to understand lessons clearly... Great Job!

[apsjoydajero]

great and clear explanation!

[jamraj666]

thnks

[cofunmi]

Thank you so much.

[ihatewhenladybugsfly]

this was very helpful! thank you

[isioma911]

Thank you so much. this has helped me in preparation of my still test-out today. God bless you.

[isioma911]

you thank so much Dr. David. this has helped me in preparation of my skill test-out today. thanks a million.

[skgsly]

OMG......thank you thank you!! You saved me. I read about this in the book but the bubble thing didn't make sense to me. This really makes sense now!!

[parkinglotster]

thank you David. Your video really helps me understand this system better. Keep it up

[karuby123]

Thank you, thank you, thank you. I read this in the book, listen to the lecture from school and still had a hard time understanding it. But when you explain it and put it in animation it became easier to understand. Thank you so much. Thank God I found your videos. Please post more videos.