scholarly journals Is a chest radiograph indicated after chest tube removal in trauma patients? A systematic review

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Arthur A.R. Sweet ◽  
Reinier B. Beks ◽  
Mirjam B. de Jong ◽  
Mark C.P. van Baal ◽  
Frank F.A. Ijpma ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chest Radiograph ◽  
Chest Tube ◽  
Trauma Patients ◽  
Tube Removal ◽  
Chest Tube Removal

Clinical descriptors of pneumothorax following chest tube removal in paediatric cardiac surgery

2020 ◽  
pp. 1-4
Author(s):  
Christine LaGrasta ◽  
Mary McLellan ◽  
Jean Connor
Keyword(s):  
Cardiac Surgery ◽  
Chest Radiograph ◽  
Chest Tube ◽  
Clinical Characteristics ◽  
Clinical Status ◽  
Surgical Patients ◽  
Paediatric Cardiac Surgery ◽  
Tube Removal ◽  
Chest Tube Removal ◽  
Clinically Significant

Abstract Background: There is limited data describing the characteristics of paediatric post-operative cardiac surgery patients who develop pneumothoraces after chest tube removal. Patient management after chest tube removal is not standardised across paediatric cardiac surgery programmes. The purposes of this study were to describe the frequency of pneumothorax after chest tube removal in paediatric post-operative cardiac surgical patients and to describe the patient and clinical characteristics of those patients who developed a clinically significant pneumothorax requiring intervention. Methods: A single-institution retrospective descriptive study (1 January, 2010–31 December, 2018) was utilised to review 11,651 paediatric post-operative cardiac surgical patients from newborn to 18 years old. Results: Twenty-five patients were diagnosed with a pneumothorax by chest radiograph following chest tube removal (0.2%). Of these 25 patients, 15 (1.6%) had a clinically significant pneumothorax and 8 (53%) did not demonstrate a change in baseline clinical status or require an increase in supplemental oxygen, 14 (93%) required an intervention, 9 (60%) were <1 year of age, 4 (27%) had single-ventricle physiology, and 5 (33%) had other non-cardiac anomalies/genetic syndromes. Conclusions: In our cohort of patients, we confirmed the incidence of pneumothorax after chest tube removal is low in paediatric post-operative cardiac surgery patients. This population does not always exhibit changes in clinical status despite having clinically significant pneumothoraces. We suggest the development of criteria, based on clinical characteristics, for patients who are at increased risk of developing a pneumothorax and would require a routine chest radiograph following chest tube removal.

Omission of routine chest x-ray after chest tube removal is safe in selected trauma patients

2010 ◽  
Vol 199 (2) ◽  
pp. 199-203 ◽  
Author(s):  
Michael D. Goodman ◽  
Nathan L. Huber ◽  
Jay A. Johannigman ◽  
Timothy A. Pritts
Keyword(s):  
Chest Tube ◽  
Trauma Patients ◽  
X Ray ◽  
Tube Removal ◽  
Chest X Ray ◽  
Chest Tube Removal ◽  
Routine Chest

Is routine chest radiograph necessary after chest tube removal?

2014 ◽  
Vol 49 (10) ◽  
pp. 1493-1495 ◽  
Author(s):  
Janine P. Cunningham ◽  
E. Marty Knott ◽  
Alessandra C. Gasior ◽  
David Juang ◽  
Charles L. Snyder ◽  
...  
Keyword(s):  
Chest Radiograph ◽  
Chest Tube ◽  
Tube Removal ◽  
Chest Tube Removal ◽  
Routine Chest

Cold application for pain and anxiety reduction following chest tube removal : A systematic review and meta-analysis

2021 ◽  
Author(s):  
Chia-Te Chen ◽  
Heng-Hsin Tung ◽  
Yen-Chin Chen ◽  
Jiun-Ling Wang ◽  
Sheng-Han Tsai ◽  
...  
Keyword(s):  
Systematic Review ◽  
Pain Intensity ◽  
Skin Temperature ◽  
Chest Tube ◽  
Meta Analysis ◽  
Anxiety Reduction ◽  
Cochrane Library ◽  
Tube Removal ◽  
Cold Application ◽  
Chest Tube Removal

Abstract Background and Objective: Data on the effects of cold application on reducing pain and anxiety after chest tube removal (CTR) are inconsistent. This study aimed to conduct a systematic review and meta-analysis to evaluate the effects of cold application on pain and anxiety reduction after CTR.Methods: We searched six databases, including Embase, Ovid Medline, Cochrane Library, Scopus, the Index to Taiwan Periodical Literature System, and Airiti Library, to identify relevant articles up to the end of February 2021. We limited the language to English and Chinese and the design to randomized controlled trials (RCTs). All studies were reviewed by two independent investigators. The Cochrane Collaboration’s tool was used to assess the risk of bias, and Review Manager 5.4 was used to conduct the meta-analysis.Results: Ten RCTs with 623 participants were included in the meta-analysis. The use of cold application could effectively reduce immediate pain and had persistent effects on pain after CTR. There were significant effects of cold application on reducing anxiety. The meta-regression showed that a drop in skin temperature to the 13°C target of cold application was significantly more effective for the immediate reduction in pain intensity compared with receiving up to 20 minutes target of cold application.Conclusion: Cold application is a safe and easy-to-administer nonpharmacological method with immediate and persistent effects on pain and anxiety relief after CTR. In particular, skin temperature drops to the 13°C target of cold application were effective for immediate reduction of pain intensity following CTR.

scholarly journals The Right Time for Chest Tube Removal in the Patient with Cardiac Surgery: A Systematic Review

2021 ◽  
Author(s):  
Abbas Heydari ◽  
Zahra Sadat Manzari ◽  
Masoud Abdollahi
Keyword(s):  
Systematic Review ◽  
Cardiac Surgery ◽  
Pleural Effusion ◽  
Chest Tube ◽  
Web Of Science ◽  
Tube Insertion ◽  
Tube Removal ◽  
Chest Tube Removal ◽  
The Right ◽  
Time Frames

Background: Chest tube insertion is recommended after cardiac surgery, and inserted annually for a large number of these patients. In addition to its benefits, the chest tube may have risks that are mismanaged. One of these risks is the possibility of pleural effusion, which can occur in high rates. Therefore, we conducted a systematic review to properly manage the chest tube and reduce its complications. Methods: This systematic review of cohort study asked the question: Is there enough evidence to determine the right time to remove the chest tube? We searched ISI Web of Science, PubMed, Scopus and Embase from 1 January 2015 to 30 September 2019 to identify retrospective or prospective cohort studies. Results: Three studies recommended early chest tube removal and two studies late removal. Of course, early and late removals in the studies had different meanings and time frames that were examined). Conclusion: More evidences and studies are needed to determine the right timing and management of the chest tube removal but our systematic review based on the available evidences revealed that if the chest tube removal occurs about 24 hours postoperatively, and with less than 100 ml drainage within the last 8 hours, it will reduce the risk of pleural effusion and improve many other outcomes.

Autologous Blood Pleurodesis: What Is the Optimal Time Interval and Amount of Blood?

2021 ◽  
Author(s):  
Alessio Campisi ◽  
Andrea Dell'Amore ◽  
Yonghui Zhang ◽  
Zhitao Gu ◽  
Angelo Paolo Ciarrocchi ◽  
...  
Keyword(s):  
Chest Tube ◽  
Autologous Blood ◽  
Optimal Time ◽  
Time Interval ◽  
Air Leak ◽  
Increased Risk ◽  
Tube Removal ◽  
Blood Patch ◽  
Prolonged Air Leak ◽  
Chest Tube Removal

Abstract Background Air leak is the most common complication after lung resection and leads to increased length of hospital (LOH) stay or patient discharge with a chest tube. Management by autologous blood patch pleurodesis (ABPP) is controversial because few studies exist, and the technique has yet to be standardized. Methods We retrospectively reviewed patients undergoing ABPP for prolonged air leak (PAL) following lobectomy in three centers, between January 2014 and December 2019. They were divided into two groups: Group A, 120 mL of blood infused; Group B, 60 mL. Propensity score-matched (PSM) analysis was performed, and 23 patients were included in each group. Numbers and success rates of blood patch, time to cessation of air leak, time to chest tube removal, reoperation, LOH, and complications were examined. Univariate and multivariate analysis of variables associated with an increased risk of air leak was performed. Results After the PSM, 120 mL of blood is statistically significant in reducing the number of days before chest tube removal after ABPP (2.78 vs. 4.35), LOH after ABPP (3.78 vs. 10.00), and LOH (8.78 vs. 15.17). Complications (0 vs. 4) and hours until air leak cessation (6.83 vs. 3.91, range 1–13) after ABPP were also statistically different (p < 0.05). Air leaks that persisted for up to 13 hours required another ABPP. No patient had re-operation or long-term complications related to pleurodesis. Conclusion In our experience, 120 mL is the optimal amount of blood and the procedure can be repeated every 24 hours with the chest tube clamped.

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