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If suction is required for the drainage of air from the pleural cavity, a pressure of between 10 to 20 cm h20 is applied. While chest tubes are routinely used to drain air or fluid from the pleural space after trauma, surgery, or pneumothorax, the presence of a continuous air leak can delay recovery, prolong hospital. Thoracostomy tubes or catheters placed in hospitalized patients require a daily assessment to determine the presence of air leak, provide ongoing adjustment of suction level, and monitor for malfunction, which may include obstruction, malposition, or disconnection.
An air leak in a chest tube indicates communication between the airway and pleural space, most commonly from a bronchopleural fistula, which requires careful. One such indicator—an air leak in a chest tube—remains a persistent challenge for thoracic surgeons, pulmonologists, and critical care teams (it is common to have some bubbling upon initial placement of the chest tube but watch for constant and a large amount of bubbling).
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