3 hours ago3 hr quote from "Operative Pediatric Surgery" by Davenport, Mark; Geiger, James -"An incision adjacent to the costodiaphragmatic recess at least one intercostal space below the site of intercostal entry is preferred to minimize postoperative leakage, particularly in children who have a thin chest wall. The tube should always exit the body anterior to the mid-axillary line extending down to the anterior superior iliac spine. Chest tubes placed posterior to this are more painful and prone to kink. Many chest tubes placed in infants may need to be cut in length to avoiding kinking."
3 hours ago3 hr Author quote from "Operative Pediatric Surgery" by Davenport, Mark; Geiger, James -"The chest tube should be removed if the lung stays fully expanded on water seal, air leaks have resolved for 24–48 hours, and fluid drainage is minimal, typically defined as less than 2.5 mL per kg per day."
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