Q: Chest tube should be removed at end-inspiration or end-expiration? (select one)
Answer: Does not matter!!
Though arguments have been made in favor of pulling chest tube both at end-inspiration and end-expiration. In actuality, as far as patient is not actively breathing, there is no difference in post-pull pneumothorax by either method.
Bell RL, Ovadia P, Abdullah F, et al. Chest tube removal: end-inspiration or end-expiration? J Trauma 2001; 50:674.