Chest Tube in Children: What to Expect at Home

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Your Child's Recovery

A chest tube is placed through the chest wall between two ribs. Your child had a chest tube put in to help a collapsed lung expand. Your child may have some pain in the chest from the cut (incision) where the tube was put in. For most people, the pain goes away after about 2 weeks. Your child will have a bandage taped over the wound. The doctor will remove the bandage and examine the wound in about 2 days.

It will take about 3 to 4 weeks for your child's incision to heal completely. It may leave a small scar that will fade with time.

This care sheet gives you a general idea about how long it will take for your child to recover. But each child recovers at a different pace. Follow the steps below to help your child get better as quickly as possible.

How can you care for your child at home?

Activity

  • Have your child rest when he or she feels tired. Getting enough sleep will help your child recover.
  • Encourage your child to walk each day. He or she can start by walking a little more than the day before. Bit by bit, help your child increase the amount he or she walks. Walking boosts blood flow and helps prevent pneumonia and constipation.
  • Your child should not ride a bike, play running games, or take part in gym class until the doctor says it is okay.
  • How soon your child can return to a normal routine depends on what health problems he or she has. Talk with your doctor about how long it will take your child to recover.
  • Your child may shower after the bandage is removed. Pat the cut (incision) dry. Do not let your child take a bath for 2 weeks after the chest tube is out, or until your doctor tells you it is okay.
  • Help your child practice deep breathing exercises as directed by your doctor. Coughing exercises also can help drain fluid out of the chest.

Diet

  • Your child can eat his or her normal diet. If your child's stomach is upset, try bland, low-fat foods like plain rice, broiled chicken, toast, and yogurt.
  • Have your child drink plenty of fluids (unless the doctor says not to).

Medicines

  • Your doctor will tell you if and when your child can restart his or her medicines. The doctor will also give you instructions about your child taking any new medicines.
  • Give pain medicines exactly as directed.
    • If the doctor gave your child a prescription medicine for pain, give it as prescribed.
    • If your child is not taking a prescription pain medicine, ask the doctor if your child can take an over-the-counter medicine.
  • Give antibiotics as directed. Do not stop using them just because your child feels better. Your child needs to take the full course of antibiotics.

Incision care

  • Keep the incision dry as it heals. Your child will have a bandage over the incision to help it heal and to protect it. The doctor will tell you how to take care of this.

Other instructions

  • Keep your child away from smoke. Do not smoke or let anyone else smoke around your child or in your house. Smoking makes lung problems worse.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse call line if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

When should you call for help?

Call 911 anytime you think your child may need emergency care. For example, call if:

  • Your child passes out (loses consciousness).
  • Your child has severe trouble breathing.
  • Your child has sudden chest pain and shortness of breath, or coughs up blood.

Call your doctor or nurse call line now or seek immediate medical care if:

  • Your child continues to have trouble breathing.
  • Your child's shortness of breath is getting worse.
  • Your child coughs up blood.
  • Bright red blood soaks through the bandage over the incision.
  • Your child has a fever.
  • Your child has severe chest pain.

Watch closely for any changes in your child's health, and be sure to call the doctor if:

  • Your child does not get better as expected.

Where can you learn more?

Go to https://www.healthwise.net/patientEd

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Current as of: August 5, 2016