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.
You can also apply for a passport card on the renewal form. Passport cards allow you to enter Canada and Mexico without a passport book. They do not work for travel to other countries. A passport card is $30 for adults. Passport renewal applications can also be sent by mail. However, if your old passport is badly damaged or you are under 16, you must renew in person.