The mythology of the chest drain
The underwater seal chest drain (UWSD) as we know it came into surgical practice in the late 1880’s. It is because of the UWSD that modern Thoracic surgery developed. Prior to the UWSD the only practical surgery was on empyema where it was possible to operate without the lung collapsed.
A chest drain is a surgical drain but differs from other drains in that it is placed into the negative pressure cavity, the thorax. As such it needs a valve in the system. Without a functioning valve there are potentially dire consequences.