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.


Reference:  

Bell RL, Ovadia P, Abdullah F, et al. Chest tube removal: end-inspiration or end-expiration? J Trauma 2001; 50:674.