MRCP UK EXAMINATIONS

RESPIRATORY

BRONCHIECTASIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
Optimal suction in persistent airleak, should entail pressures of ____ cm h20
A
-10 to-20
B
<-5
C
-20 to-30
D
-30 to-40
Explanation: 

Detailed explanation-1: -The water chamber holds a column of water, which prevents air from being sucked into the pleural space with inhalation. The suction chamber can be attached to continuous wall suction to remove air or fluid, or it can be placed on “water seal” with no active suction mechanism.

Detailed explanation-2: -Wall Suction vs. A chest drain on “wall suction” means the patient’s chest drain is attached to the vacuum regulator (the device attached to the wall that controls the suction pressure). A chest drain on “water seal” means the chest drain is not attached to the vacuum regulator.

Detailed explanation-3: -A postoperative air leak is defined by air escaping the lung parenchyma into the pleural space after any kind of surgery in the chest.

Detailed explanation-4: -A chest tube drainage system disconnecting from the chest tube inside the patient is an emergency. Immediately clamp the tube and place the end of chest tube in sterile water or NS. The two ends will need to be swabbed with alcohol and reconnected. Bleeding may occur after insertion of the chest tube.

There is 1 question to complete.