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Calcimator

Chest Tube Size Calculator

Select chest tube size (Fr) based on indication, patient type, and weight with insertion site and drainage system recommendations.

Inputs

Results

Recommended Tube Size (Fr)

22

Minimum Size (Fr)20
Maximum Size (Fr)24
Insertion Site (1 = Safe Triangle)1
Connection (1=Seal, 2=Heimlich, 3=Suction)2
Suction Pressure (cmH2O)0
How to Use This Calculator
  1. Select the Indication (pneumothorax, hemothorax, empyema, or effusion) from the dropdown.
  2. Select Patient Type (Adult or Pediatric) and enter Patient Weight (kg) for pediatric sizing.
  3. Review Recommended Tube Size (Fr), Minimum and Maximum acceptable sizes.
  4. Check Insertion Site guidance (safe triangle for pneumothorax: 4th-5th ICS, anterior axillary line).
  5. Set Connection type (water seal, Heimlich valve, or suction) and verify Suction Pressure (cmH2O).

What each input means

Indication
1 = Pneumothorax, 2 = Hemothorax, 3 = Empyema, 4 = Pleural Effusion.
Patient Type (1=Adult, 2=Pediatric)
1 = Adult, 2 = Pediatric (sizing adjusted by weight).
Patient Weight (kg)
Weight in kg. Used for pediatric tube size estimation.

What each result means

Recommended Tube Size (Fr)
Optimal chest tube size in French for the given indication.
Minimum Size (Fr)
Lower end of acceptable range.
Maximum Size (Fr)
Upper end of acceptable range.
Insertion Site (1 = Safe Triangle)
4th-5th intercostal space, mid-axillary line (safe triangle).
Connection (1=Seal, 2=Heimlich, 3=Suction)
Recommended drainage system connection type.
Suction Pressure (cmH2O)
Recommended suction pressure. 0 if no suction needed.

How this is calculated

Worked example, using the default values

  1. Identify Input Parameters
    Indication = 1, Patient Type (1=Adult, 2=Pediatric) = 1, Patient Weight (kg) = 70 = 3 input(s) provided
  2. Calculate Recommended Tube Size
    22 = 22
  3. Calculate Minimum Size
    20 = 20
  4. Calculate Maximum Size
    24 = 24

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