If large volumes of pleural fluid are drained too quickly
from chest drains, patients can rapidly deteriorate from the potentially
life-threatening complication of re-expansion pulmonary oedema. The rate at
which fluid is drained must be controlled in order to prevent cardiovascular
instability and collapse.
Providers are asked to review local chest drain clinical
procedures to ensure they follow national guidelines and standards; and to
ensure clear instruction on frequency of observation, red flag triggers and
local escalation procedures for patient deterioration are available at the
patient’s bedside.