You are taking care of a trauma patient in the ICU. Following placement of a chest tube, there is a large amount of air that continues to exit the chest tube in a synchronized pattern with positive pressure ventilation. What do you suspect?
a. Inappropriate ventilator settings
b. Bronchial injury
c. Correct placement of the chest tube
d. Endotracheal tube cuff leak
ANS: B
The presence of bronchial injury should be suspected when, after the placement of a chest tube for pleural drainage, large amounts of air continue to exit the chest tube in a synchronized pattern with positive pressure ventilation.
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