ABSTRACT
This chapter provides information for performing tube thoracostomy. It begins with a case scenario of a 21-year-old man who is presented with sudden-onset left thoracic pain after a fall and shortness of breath. Chest radiograph reveals loss of lung markings in the left lung and mediastinal shift to the right. The chapter then includes details on indications, contraindications, and information about supplies, positioning, technique and chest tube removal. Pearls and pitfalls are also incorporated, providing additional insights and practical advice not always available in other textbooks or articles. Persistent pneumothorax should be confirmed with serial chest radiographs and treated with additional chest tubes as needed.
