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.
A passport book is valid for any international travel by air, sea or land. It is valid for 10 years for adults and 5 years for minors under 16. A passport card is valid for travel to and from Canada, Mexico, the Caribbean and Bermuda at land border crossings and sea ports-of-entry.