INTRODUCTION OF CHEST DRAINAGE TUBES
Placement of an intercostal tube or catheter for pneumothorax can be readily accomplished under local anesthesia, with or without an intercostal nerve block. Chest tube placement may be done at the bedside, but strict aseptic precautions should be observed. The second or third anterior intercostal space in the midclavicular line or the fourth or ﬁfth intercostal space in the midaxillary line are the preferred sites for chest tube placement. To help select the optimal point of entry, chest radiographs should be reviewed unless the clinical situation is one of extreme urgency.