Back to accessibility links Consensus Guideline Pleural Drains in Adults Search this resource Search Menu Section 1: Pre Insertion In this sectionIndications for pleural drainsSkilled operatorsThoracic ultrasound guidancePre-insertion risk assessmentConsent and pre medicationConfirm the site for drain insertionPosition the patientTube selection Introduction Be aware of the risksGolden rulesBackground Section 1: Pre Insertion IndicationsSkilled operatorsUltrasound and RiskConsent and pre medicationSite and positionTube selection Section 2: Insertion Summary flowchartsEquipment requiredSeldinger techniqueBlunt dissectionComplicationsDrainage systemsImmediate care post insertionSecure the drain and connections Section 3: Management Equipment required at bedsideReceiving a patient with an UWSDTransferring a patient with an UWSDDrainageTrouble shootingFlushingClampingUnblocking a pleural catheterInsertion site dressingsPatient activity, hygiene, pain relief Section 4: Removal Indications and operatorsPrior to removalEquipment for removalPatient preparationPreparation for removalRole of the pleural drain removerRole of assistantCare after removalPatient education Local Policies and References GlossaryAcknowledgements Guidance for assessing competency Purpose, aims and backgroundRecommendations for assessing competency in advanced traineesPleural drain education for respiratory advanced traineesRecommendations for assessing competency in nursesPleural drain education for nurses