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video for inserting chest tube for Pneumothorax


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Have a look at this video: http://www.neoknowledge.org/chest-tube-pigtail/

Regarding knowing when you enter the pleural space - you'll feel it :) 

As you insert the tube rather high on the chest you will be certain that the tube is in the pleural cavity when you insert it, the "reciept" will be that you can aspirate air.

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