the above procedure is contraindicated in ?

intercostal drainage (chest tube) INDICATIONS * Drainage of a pneumothorax * Under tension * With respiratory distress or failure * With significant emphysema * With failed aspiration or recurrent collapse after aspiration * Drainage of a large haemothorax of pleural effusion * Drainage of an empyema * Prophylactic inseion in a patient with chest injuries, prior to PPV or aeromedical transpo * Pleural lavage (eg rewarming) Contraindications lung abscess * Increased ICP * Unstable head or neck injury * Active hemorrhage or hemoptysis * Recent spinal injury * Rib fracture * Flail chest * Uncontrolled hypeension * Anticoagulation * Thoracic surgeries ref ; bailey and love 27th ed