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.
As of March 2010, more than 2,700,000 Passport Cards have been issued to U.S. citizens. A US passport Card is used as a federal ID and is only good for travel to Canada, Mexico, the Caribbean, and Bermuda at land border crossings or sea ports-of-entry and is more convenient and less expensive than a passport book. The passport card cannot be used for international travel by air.