IMPORTANCE Thoracostomy, or chest tube placement, is used in a variety of clinical indications and can be lifesaving in certain circumstances. There have been developments and modifications to thoracostomy tubes, or chest tubes, over time, but they continue to be a staple in the thoracic surgeon's toolbox as well as adjacent specialties in medicine. This review will provide the nonexpert clinician a comprehensive understanding of the types of chest tubes, indications for their effective use, and key management details for ideal patient outcomes. OBSERVATIONS This review describes the types of chest tubes, indications for use, techniques for placement, common anatomical landmarks that are encountered with placement and management, and an overview of complications that may arise with tube thoracostomy. In addition, the future direction of chest tubes is explored, as well as the management of chest tubes during the COVID-19 pandemic. CONCLUSIONS AND RELEVANCE Chest tube management is subjective, but the compilation of data can inform best practices and safe application to successfully manage the pleural space and ameliorate acquired pleural space disease.

中文翻译：

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胸管管理综合回顾：回顾。

重要性 开胸术或胸管放置术用于多种临床适应症，在某些情况下可以挽救生命。随着时间的推移，胸腔造口管或胸管得到了发展和修改，但它们仍然是胸外科医生工具箱以及相邻医学专业中的主要内容。这篇综述将使非专业临床医生全面了解胸管的类型、有效使用的适应症以及理想患者结果的关键管理细节。观察 本综述描述了胸管的类型、使用指征、放置技术、放置和管理时遇到的常见解剖标志，以及胸管造口术可能出现的并发症的概述。此外，探讨了胸管的未来方向，以及 COVID-19 大流行期间胸管的管理。结论和相关性胸管管理是主观的，但数据的汇编可以为成功管理胸膜腔和改善获得性胸膜腔疾病的最佳实践和安全应用提供信息。