Overview
Intercostal drainage (ICD) involves inserting a chest drain tube into the pleural space to continuously drain fluid or air. It is used for selected patients with significant pleural effusion, pneumothorax, empyema or other pleural conditions.
When is it recommended?
- Moderate to large pneumothorax not suitable for simple aspiration
- Significant pleural effusion
- Empyema (infected pleural fluid)
- Haemothorax
- Selected cases of recurrent or loculated pleural effusion
What to Expect
- 1
Clinical Evaluation
Thorough clinical assessment and review of imaging before any procedure is performed.
- 2
Preparation
The procedure is planned after clinical assessment and imaging. Informed consent is obtained. Medications including blood thinners are reviewed. Local anaesthesia is used.
- 3
The Procedure
The skin and subcutaneous tissue are anaesthetised. A tube is introduced into the pleural space through a small incision in the chest wall. The tube is secured and connected to a drainage system.
- 4
Recovery
The drain remains in place until drainage is adequate and imaging confirms improvement. Monitoring is required during the period the drain is in situ.
- 5
After the Procedure
Follow specific post-procedure instructions from the clinical team. Report any tube blockage, displacement or increasing breathlessness.
