The patient had a bilateral lung transplant in the early hours of the day a few months ago.The patient started to desaturate in the evening.An x-ray was obtained and there was a large pneumo on the left.The medical doctor's had us remove her chest dressing and place a new one to try and relieve pressure.During all this we found the chest tube to be open in the back.The covidien substitute chest tube has a large port in the back for filling that will often pop open which causes the chest drain to lose all the suction in the system.The medical doctor's are not sure if this was the main cause of the pneumo or if it just made things worse.The atrium chest drain system is our normal system but was on back order so the hospital used this.
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