Intercostal Catheter Management: Insertion to Removal ...
A chest drain from the mediastinum will not cause bubbling in the underwater seal chamber. Observe the water seal chamber for bubbling (this will occur on coughing or may be present without coughing if a large leak) Note the level of bubbling (i.e. intermittent, continuous) ... excessive continuous bubbling indicates an air leak in the pleural ... ................
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