Since chest tubes have been routinely used to drain the pleural space, particularly after lung surgery, the management of chest tubes is considered to be essential for the thoracic surgeon. The pleural drainage system requires effective drainage, suction, and water-sealing.
1 The Passport Card can be used on cruises to the Caribbean and Bermuda, in addition to land border crossings to Canada and Mexico.  The US State Department started accepting applications for the Passport Card on February 1st, 2008.
However, you can also get a passport card. The US passport card can be useful in a number of situations. As US passport card can be used to enter Canada, Mexico, the Caribbean, and Bermuda by road or by sea, and can allow you to reenter the United States after such a trip. The US passport card cannot be used for any international air travel, but if you travel frequently to Mexico, the Caribbean, Bermuda, and Canada by land or water, the US passport card can actually make more sense than a passport book. The US passport card is less expensive to get then passport book, and is much smaller.