Chest Tube Insertion in India: Safe & Affordable Care for International Patients

Chest Tube Insertion in India

Insertion of chest tube is a medical operation where a flexible tube is inserted into pleura (space between the lungs and the chest wall) to drain air, fluid, bleeding or pus. This assists the lungs to re-expand and regains the normal breathing mechanics.

Indications

The insertion of chest tubes is normally done to address conditions such as:

• Pneumothorax (air in the pleural space) -traumatic or spontaneous.
• Hemothorax (blood in the pleura)
• Pleural effusion (fluid in the pleura)
• Empyema (pus in the pleural space)
• Post-thoracic surgery (to avoid the build-up of fluid or air)

Contraindications

Absolute:

• Marked coagulopathy (excepted)
• Sites of insertions Infection.

Relative:

• Minor, non-progressive pneumothorax (could be present)
• Extreme deformities of the chest wall.

Procedure

Preparation:

• Describing the process and asking permission.
• Support the patient: traditionally lying on his back or in 30-45 degree semi-recumbent position, with his arm elevated above his head on the side with the injury.
• Clean and use local anaesthesia.

Site Selection:

• Mid-axillary line, which is usually the 5th intercostal space.
• Avoid neurovascular bundle (under each rib)

Insertion Steps:

• Halve or three quarters cm incision made above the rib.
• Incise through subcutaneous tissue to pleura with curved clamp bluntly.
• Puncture the pleura.
• Insert chest tube towards apex in case of pneumothorax or towards the back in case of fluid.
• Attach tube to drainage system water seal.
• Suture and use a sterile dressing on tube.

Confirmation:

Clinical: drainage of air or fluid, better breathing and easier breathing.
Radiological: X-ray of the chest to ascertain proper tube location.

Post-Procedure Care

• Check oxygen saturation and vital signs.
• Periodically check outputs of drainage and tube patency.
• Chest X-rays to check the expansion of lungs every day.
• When lung has re-expansion and minimal drainage, then remove tube.

Best Hospitals for Chest Tube Insertion in India

• Artemis Hospital, Gurgaon
• Medanta-The Medicity, Gurgaon
• Fortis Memorial Research Institute, Gurgaon
• Max Hospital, Saket

Factors Affecting Chest Tube Insertion Cost in India

The price of the chest tube insertion (tube thoracostomy), in India, may depend greatly on a number of factors, among which is the nature of the healthcare institution, the geographical area, or the particular patient requirements. The important factors affecting the price include:

Healthcare Facility Type:

• Private Hospitals: These are usually costly because they include high infrastructure and facilities.

Geographic Location:

• Metropolitan cities such as Delhi, Mumbai, and Chennai are likely to be expensive than small towns.

Surgeon’s Expertise:

• Surgeons who are very experienced or specialized are likely to have high consultation cost.

Diagnostic and Hospitalization Charges:

• The cost can be increased by pre-procedure diagnostics (e.g., X-rays, blood tests) and post-procedure hospitalization.

Type of Procedure:

• Less invasive procedures such as Video-Assisted Thoracoscopic Surgery (VATS) can be even more expensive since they require specialized equipment.

Factors Affecting Affordable Chest Tube Insertion in India

Ensuring affordable chest tube insertion in India involves navigating various factors that influence healthcare costs. Here's an overview of key elements to consider:

• Healthcare Facility Type
• Geographic Location
• Procedure Complexity
• Diagnostic and Hospitalization Charges

Top Surgeons for Chest Tube Insertion in India

• Dr. Shweta Bansal
• Dr. Arvind Kumar
• Dr. Udgeath Dhir
• Dr. Vivek Nangia

Chest Tube Surgery in India

Preoperative Considerations:

• Vital signs, oxygen saturation, chest imaging (X-ray/CT) assessment of the patient.
• Consent: describe the process and potential problems.
• Positioning: normally supine or semi-recumbent, arm of the affected side elevated.
• Application of local anaesthesia and sterilization.

Procedure Steps:

• Incision: 2 to 3 cm above the chosen intercostal space (Typically 5 th, mid-axillary line)
• Subcutaneous tissue and intercostal muscle blunt dissection.
• Puncture pleura carefully

Insert chest tube:

• Pneumothorax is directed upwards.
• Posteriorly/inferior directed fluid/blood.
• Connect to drainage system (water seal or suction)
• Wrap the tube using sutures and sterile dressing.
• Confirm placement: air/fluid drainage, breathing improvement clinical findings and chest X-ray.

Postoperative Care:

• Measure vitals and oxygen saturation.
• Volume and patency of tubes and check drainage.
• Chest X-rays every day to measure the expansion of lungs.
• Discontinue tube when drainage is low and lungs have been expanded.

Recovery:

• Typically, the stay in the hospital is between 2 and 5 days depending on the disease condition.
• The significance of pain management is in regard to early breathing exercises.
• Follow-up: make sure the lung re-expands completely and does not have recurrent pneumothorax or fluid buildup.

Chest Tube Insertion in India with GetWellGo

GetWellGo is regarded as a leading supplier of healthcare services. We help our foreign clients choose the best treatment locations that suit their needs both financially and medically.

We offer:

• Complete transparency
• Fair costs.
• 24 hour availability.
• Medical E-visas
• Online consultation from recognized Indian experts.
• Assistance in selecting India's top hospitals for Chest Tube Insertion treatment.
• Expert pulmonologist/cardiothoracic surgeon with a strong track record of success
• Assistance during and after the course of treatment.
• Language Support
• Travel and Accommodation Services
• Case manager assigned to every patient to provide seamless support in and out of the hospital like appointment booking
• Local SIM Cards
• Currency Exchange
• Arranging Patient’s local food