Digital and Smart Chest Drainage Systems to Monitor Air Leaks: The Birth of a New Era?

2010 ◽  
Vol 20 (3) ◽  
pp. 413-420 ◽  
Author(s):  
Robert J. Cerfolio ◽  
Gonzalo Varela ◽  
Alessandro Brunelli
Keyword(s):  
Chest Drainage ◽  
Drainage Systems ◽  
New Era ◽  
Air Leaks

scholarly journals Multicenter randomized study on comparison between electronic and traditional chest drainage systems

2019 ◽  
Author(s):  
Giuseppe Marulli ◽  
Giovanni Maria Comacchio ◽  
Mario Nosotti ◽  
Lorenzo Rosso ◽  
Paolo Mendogni ◽  
...  
Keyword(s):  
Interobserver Variability ◽  
Chest Drain ◽  
Chest Drainage ◽  
Drainage Systems ◽  
Traditional System ◽  
Air Leaks ◽  
Tube Removal ◽  
Space Effect ◽  
Digital Chest ◽  
Chest Tube Removal

Abstract Background In patients submitted to major pulmonary resection, post-operative length of stay is mainly influenced by duration of air leaks and chest tube removal. The measurement of air leaks largely relies on traditional chest drainage systems which are prone to subjective interpretation. Difficulty to differentiate between active air leaks and bubbles due to a pleural space effect may also lead to tentative drain clamping and prolonged time for chest drain removal. New digital systems allow continuous monitoring of air leaks, identifying subtle leakage that may be not visible during daily patient evaluation. Moreover, an objective assessment of air leaks may lead to a reduced interobserver variability and to an optimized timing of chest tube removal. Methods This study is a prospective randomized, interventional, multicenter trial designed to compare the electronic chest drainage system (Drentech™ Palm Evo) with the traditional system (Drentech™ Compact) in a cohort of patients undergoing pulmonary lobectomy through a standard 3-ports VATS approach for benign or malignant disease. It will enroll 382 patients in 3 Italian centers. Duration of chest drainage and length of hospital stay will be evaluated in the two groups. Moreover, it will be evaluated if the use of a digital chest system compared with a traditional system reduces the interobserver variability. Finally, it will be evaluated the possible advantages of the digital drain system to distinguish an active air leak from a pleural space effect, by the evaluation of intrapleural differential pressure, and to identify potential predictors of prolonged air leaks. Discussion To date few studies have been performed to evaluate clinical impact of digital drainage systems. The proposed prospective randomized trial will provide new knowledge to this research area by investigating and comparing the difference between digital and traditional chest drain systems. In particular, the objectives of this project are to evaluate the feasibility and usefulness of utilizing the digital chest drain and to provide new tools to identify patients at higher risk of developing prolonged air leaks. Trial registration number NCT03536130, Registered 24 May 2018 - Retrospectively registered, https://clinicaltrials.gov/ct2/results?cond=&term=NCT03536130&cntry=&state=&city=&dist=

scholarly journals Complications after Chest Tube Removal and Reinterventions in Patients with Digital Drainage Systems

2019 ◽  
Vol 8 (12) ◽  
pp. 2092
Author(s):  
Yi-Ying Lee ◽  
Po-Kuei Hsu ◽  
Chien-Sheng Huang ◽  
Yu-Chung Wu ◽  
Han-Shui Hsu
Keyword(s):  
Predictive Factors ◽  
Lung Resection ◽  
Drainage System ◽  
Drainage Tube ◽  
Air Leak ◽  
Chest Drainage ◽  
Drainage Systems ◽  
Air Leaks ◽  
Thoracic Drainage ◽  
Tube Removal

Introduction: Digital thoracic drainage systems are a new technology in minimally invasive thoracic surgery. However, the criteria for chest tube removal in digital thoracic drainage systems have never been evaluated. We aim to investigate the incidence and predictive factors of complications and reinterventions after drainage tube removal in patients with a digital drainage system. Method: Patients who received lung resection surgery and had their chest drainage tubes connected with a digital drainage system were retrospectively reviewed. Results: A total of 497 patients were monitored with digital drainage systems after lung resection surgery. A total of 175 (35.2%) patients had air leak-related complications after drainage tube removals, whereas 25 patients (5.0%) required reintervention. We identified that chest drainage duration of five days was an optimal cut-off value in predicting air leak-related complications and reinterventions. In multiple logistic regression analysis, previous chest surgery history; small size (16 Fr.) drainage tubes; the presence of initial air leaks, defined as air leaks recorded by the digital drainage system immediately after operation; and duration of chest drainage ≥5 days were independent factors of air leak-related complications, whereas the presence of initial air leaks and duration of chest drainage ≥5 days were independent predictive factors of reintervention after drainage tube removal. Conclusion: Air leak-related complications and reinterventions after drainage tube removals happened in 35.2% and 5.0% of patients with digital thoracic drainage systems. The management of chest drainage tubes in patients with predictive factors, i.e., the presence of initial air leaks and duration of chest drainage of more than five days, should be treated with caution.

scholarly journals Multicenter randomized study on the comparison between electronic and traditional chest drainage systems

Trials ◽  
2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Giuseppe Marulli ◽  
Giovanni M. Comacchio ◽  
Mario Nosotti ◽  
Lorenzo Rosso ◽  
Paolo Mendogni ◽  
...  
Keyword(s):  
Interobserver Variability ◽  
Chest Drain ◽  
Chest Drainage ◽  
Drainage Systems ◽  
Traditional System ◽  
Air Leaks ◽  
Tube Removal ◽  
Space Effect ◽  
Digital Chest ◽  
Chest Tube Removal

Abstract Background In patients submitted to major pulmonary resection, the postoperative length of stay is mainly influenced by the duration of air leaks and chest tube removal. The measurement of air leaks largely relies on traditional chest drainage systems which are prone to subjective interpretation. Difficulty in differentiating between active air leaks and bubbles due to a pleural space effect may also lead to tentative drain clamping and prolonged time for chest drain removal. New digital systems allow continuous monitoring of air leaks, identifying subtle leakage that may be not visible during daily patient evaluation. Moreover, an objective assessment of air leaks may lead to a reduced interobserver variability and to an optimized timing for chest tube removal. Methods This study is a prospective randomized, interventional, multicenter trial designed to compare an electronic chest drainage system (Drentech™ Palm Evo) with a traditional system (Drentech™ Compact) in a cohort of patients undergoing pulmonary lobectomy through a standard three-port video-assisted thoracic surgery approach for both benign and malignant disease. The study will enroll 382 patients in three Italian centers. The duration of chest drainage and the length of hospital stay will be evaluated in the two groups. Moreover, the study will evaluate whether the use of a digital chest system compared with a traditional system reduces the interobserver variability. Finally, it will evaluate whether the digital drain system may help in distinguishing an active air leak from a pleural space effect, by the digital assessment of intrapleural differential pressure, and in identifying potential predictors of prolonged air leaks. Discussion To date, few studies have been performed to evaluate the clinical impact of digital drainage systems. The proposed prospective randomized trial will provide new knowledge to this research area by investigating and comparing the difference between digital and traditional chest drain systems. In particular, the objectives of this project are to evaluate the feasibility and usefulness of digital chest drainages and to provide new tools to identify patients at higher risk of developing prolonged air leaks. Trial registration ClinicalTrials.gov, NCT03536130. Retrospectively registered on 24 May 2018.

scholarly journals Multicenter randomized study on comparison between electronic and traditional chest drainage systems

2019 ◽  
Author(s):  
Giuseppe Marulli ◽  
Giovanni Maria Comacchio ◽  
Mario Nosotti ◽  
Lorenzo Rosso ◽  
Paolo Mendogni ◽  
...  
Keyword(s):  
Chest Tube ◽  
Pleural Space ◽  
Chest Drain ◽  
Chest Drainage ◽  
Drainage Systems ◽  
Air Leaks ◽  
Tube Removal ◽  
Space Effect ◽  
Digital Chest ◽  
Chest Tube Removal

Abstract Background: In patients submitted to major pulmonary resection, post-operative length of stay is mainly influenced by duration of air leaks and chest tube removal. The measurement of air leaks largely relies on traditional chest drainage systems which are prone to subjective interpretation. Difficulty in differentiating between active air leaks and bubbles due to a pleural space effect may also lead to tentative drain clamping and prolonged time for chest drain removal. New digital systems allow continuous monitoring of air leaks, identifying subtle leakage that may be not visible during daily patient evaluation. Moreover, an objective assessment of air leaks may lead to a reduced interobserver variability and to an optimized timing of chest tube removal. Methods: This study is a prospective randomized, interventional, multicenter trial designed to compare the electronic chest drainage system (Drentech™ Palm Evo) with the traditional one (Drentech™ Compact) in a cohort of patients undergoing pulmonary lobectomy through a standard 3-ports VATS approach both for benign or malignant disease. It will enroll 382 patients in 3 Italian centers. Duration of chest drainage and length of hospital stay will be evaluated in the two groups. Moreover, it will be evaluated if the use of a digital chest system compared with a traditional system reduces theinterobserver variability. Finally, it will be evaluated if the digital drain system may help in distinguishing an active air leak from a pleural space effect, by the digital assessment of intrapleural differential pressure, and in identifying potential predictors of prolonged air leaks. Discussion : To date, few studies have been performed to evaluate clinical impact of digital drainage systems. The proposed prospective randomized trial will provide new knowledge to this research area by investigating and comparing the difference between digital and traditional chest drain systems. In particular, the objectives of this project are to evaluate the feasibility and usefulness of digital chest drainages and to provide new tools to identify patients at higher risk of developing prolonged air leaks.

Assessment of Differential Pressures in Chest Drainage Systems: Is What You See What You Get?

2018 ◽  
Vol 232 ◽  
pp. 464-469 ◽  
Author(s):  
Esteban Aguayo ◽  
Robert Cameron ◽  
Vishal Dobaria ◽  
Ryan Ou ◽  
Amit Iyengar ◽  
...  
Keyword(s):  
Chest Drainage ◽  
Drainage Systems

scholarly journals Early experience with the Thopaz+ chest drainage system – is this a new era in the management of post-cardiotomy bleeding?

2021 ◽  
Vol 18 (4) ◽  
pp. 236-238
Author(s):  
Karolina Pawelkowska ◽  
Stanislaw Bartus ◽  
Robert Sobczynski ◽  
Michal Medrzycki ◽  
Grzegorz Grudzień ◽  
...  
Keyword(s):  
Drainage System ◽  
Early Experience ◽  
Chest Drainage ◽  
New Era

Multicenter International Randomized Comparison of Objective and Subjective Outcomes Between Electronic and Traditional Chest Drainage Systems

2014 ◽  
Vol 98 (2) ◽  
pp. 490-497 ◽  
Author(s):  
Cecilia Pompili ◽  
Frank Detterbeck ◽  
Kostas Papagiannopoulos ◽  
Alan Sihoe ◽  
Kostas Vachlas ◽  
...  
Keyword(s):  
Chest Drainage ◽  
Drainage Systems ◽  
Subjective Outcomes

scholarly journals F-037 * WATER SEAL'S ONE-WAY ACTION IN CHEST DRAINAGE SYSTEMS: WHEN THE PARADIGM FAILS

2014 ◽  
Vol 18 (suppl 1) ◽  
pp. S10-S10
Author(s):  
A. Antonicelli ◽  
M. Nosotti ◽  
A. Guadagnini ◽  
M. Riva ◽  
F. Inzoli ◽  
...  
Keyword(s):  
Chest Drainage ◽  
Drainage Systems
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