36MaintenancePneumothorax Bladder ReplacementTo remove the pneumothorax bladder from bilateral mid-clavicularsites:1. Detach the chest skin from torso by lifting the tabs at the shoulderand back. Remove chest skin.2. Remove chest plate from torso.3. Disconnect bladder hose from Y connector, located on theunderside of chest plate.4. Pinch and remove bladder through opening between second andthird intercostal spaces. These are located on the top side of thechest plate.5. Trim the tubing on the new bladder to match original tubinglength.6. Insert new pneumothorax bladder into the top side of chestplate, through the second and third intercostal space openings.The bladder tubing exits through the back side of the chest plate.Ensure the narrow edge of the bladder is closest to the sternum.7. Reconnect hose to Y hose connector.8. Return chest plate to proper position on torso.9. Replace chest skin over torso. Secure skin at shoulders and back.10. Conceal puncture marks on the exterior of chest skin with wax inthe Bladder Replacement Kit.To remove the pneumothorax bladder from midaxillary site (RIGHT):1. Remove chest skin from tabs at shoulder and back.2. Remove pneumo bladder insert from right side of torso.