Articles
G2-ICU-Mid-Retraction
Guide Tube Path Not Straight Ensure the Chest Tube and Guide Tube are as straight and parallel to the patient's body as possible when actuating. Ensure the proximal end of the guide tube is not elevated when attempting to actuate. Actuated Too Fast The Clearance Wire and Loop may be encountering some resistance from clot which may require slower movement. Consider Patient Positioning The Chest Tube may be compressed by swelling inside the chest cavity or encountering resistance due to patient positioning. Reattempt actuation when the patient has been repositioned (supine to semi-fowlers, semi-fowlers to supine, sitting to supine/semi-fowlers). Possible Clot Formation During retraction, a clot may be occluding normal passage of the clearance wire and loop. If decoupling persists during retraction, slide the shuttle guide over the internal magnet to recouple and return to the parked position. Communicate the location of the decoupling to the ICU. If decoupling persists during retraction, slide the shuttle guide over the internal magnet to recouple and return to the parked position. Re-attempt an actuation at a slower speed. If the problem persists, utilize the Zip to withdraw the loop and wire from inside the chest tube.
Published | May 16, 2023, 1:24 p.m.