Intercostal chest drain clamping

Abstract

Sir, Once the security measures have been taken, temporary clamping of an intercostal chest drain (ICD) is indicated during the change of the water seal unit and before removing the drain in patients with pneumothorax or pulmonary resection surgery. Depending on the case and the internal diameter of chest drain required, we use a personalized clamping technique with various disposable devices available in the hospital ward, with the aim of avoiding excessive manipulation with instruments that could damage or perforate an ICD. Depending on the internal diameter of the ICD, we reserve the roller clamps of the intravenous infusion sets for 14–16 French (Fr) diameter drains, the slider clamps of the urinary bag outlet tube for 16–20 Fr drains, the on/off clamps used for enema bags in 20–28 Fr drains, and the clamp used in peritoneal dialysis bags for those >30 Fr.