scholarly journals Role of chest tube drainage in physical function after thoracoscopic lung resection

2019 ◽  
Vol 11 (S15) ◽  
pp. S1947-S1950
Author(s):  
Pengfei Li ◽  
Shuangjiang Li ◽  
Guowei Che
Keyword(s):  
Physical Function ◽  
Chest Tube ◽  
Lung Resection ◽  
Chest Tube Drainage ◽  
Tube Drainage

Computer-Mediated Power Stapling for Anatomical Lung Resection: Experience in 100 Consecutive Cases

2006 ◽  
Vol 1 (6) ◽  
pp. 328-331 ◽  
Author(s):  
Wickii T. Vigneswaran ◽  
Charles Gruner
Keyword(s):  
Length Of Stay ◽  
Chest Tube ◽  
Lung Resection ◽  
Hospital Length ◽  
Chest Tube Drainage ◽  
Hospital Length Of Stay ◽  
Tube Drainage ◽  
Computer Mediated ◽  
Linear Cutter ◽  
Lung Resections

Objectives Mechanical stapling is widely used for lung resection. Complications related to the stapling are few but not infrequent. This varies from complete disruption of the staples to incomplete sealing of vascular structures. A stapling platform that has a strong clamping force with precise and consistent staple formation suitable for thickness of tissue is likely to be an advance in existing devices and may reduce the complication rate. A new, computer-mediated power stapling is currently available for lung resections, with three types of digital loading units (DLU). Clinical data on its use are limited. We report our experience with this stapling platform (SurgASSIST) in our first 100 patients undergoing anatomic lung resection. Methods Fifty-four men and forty-six women (mean age, 64 ± 7 years) underwent anatomic lung resections, using a lateral, muscle-sparing mini-thoracotomy, during 2004 to 2005, with the SurgASSIST platform. Three types of DLUs were used for lung resection: a linear cutter, a right-angled vascular cutter, and a right-angled bronchial cutter. Observational data were collected prospectively on the operative procedure, type of staples used, duration of operation, chest tube drainage, and hospital length of stay. Results There were 83 lobectomies, 5 bilobectomies, 5 segmental resections, and 7 pneumonectomies. A total of 502 DLUs (mean, 5 per patient; 102 vascular, 91 bronchial, and 309 linear cutters) were used in this series. There were no major operative complications. The mean operating time was 136 ± 41 minutes. One bronchial dehiscence and one incomplete sealing of the pulmonary vein in the staple line were observed. In one patient, the linear cutter could not be opened in the automatic setting. There were 15% misreads by the computer on the DLU or their inserts. There was one hospital death unrelated to the stapling. Twenty additional complications included prolonged chest tube drainage (n = 8), reoperations (n = 2), atrial fibrillation (n = 5), hemothorax (n = 1), chylothorax (n = 1), C-dif colitis (n = 1), myocardial ischemia (n = 1), and incarcerated ventral hernia (n = 1). The median hospital length of stay was 5 days (range, 3 to 26 days) and the median length of chest tube drainage was 3 days (1 to 22 days). Conclusions Our experience shows that the computer-mediated power stapling of lung parenchyma and hilar structures during anatomic resection is safe and reproducible.

scholarly journals Role of small calibre chest tube drainage for iatrogenic pneumothorax.

Thorax ◽  
1990 ◽  
Vol 45 (10) ◽  
pp. 748-749 ◽  
Author(s):  
M Laub ◽  
N Milman ◽  
D Muller ◽  
E Struve-Christensen
Keyword(s):  
Chest Tube ◽  
Chest Tube Drainage ◽  
Tube Drainage

scholarly journals Factors Influencing Empyema in Children

2019 ◽  
Vol 28 (1-2) ◽  
pp. 14-9
Author(s):  
Cissy B. Kartasasmita ◽  
Oma Rosmayudi ◽  
Rita Wahyunarti
Keyword(s):  
Chest Pain ◽  
Respiratory Tract ◽  
General Hospital ◽  
Chest Tube ◽  
Chest Tube Drainage ◽  
Tube Drainage ◽  
Pleural Thickening ◽  
Under Nutrition ◽  
Factors Influencing

Incidence of empyema in children at Hasan Sadikin General Hospital is still high, commensurate with the high number of cases of pneumonia. Thirty-seven children with empyema were studied from July 1984 to December 1985; 20 of them were females and 17 males with the age ranging between 5 months and 12 years. Three patients (8.1 %) had loculated fluid as observed on chest roentgenographs; the remainder had empyema sinistra and dextra at 43.2% and 48.6% respectively. More than 50% of the patients were undernourished (56. 7%), 5 of whom were marasmic. On admission, 89.2% complained of dyspnea, 24.3% of cough, 16.2% of high fever and 10.8% of chest pain. All patients suffered from acute respiratory tract injection (ARI) 7 to 30 days before admission, 70.3% of whom did not receive adequate medication and 5 individuals received no treatment at all. Chest tube drainage was performed on 34 patients. In the study, 3 patients died (8.1%) due to sepsis. All recovered patients had pleural thickening on chest roentgenographs on discharge. The role of under nutrition, delay of medication and inadequate treatment of ARI seemed to have an1 influence on empyema in the patients observed.

scholarly journals Omitting chest tube drainage after thoracoscopic major lung resection

2013 ◽  
Vol 44 (2) ◽  
pp. 225-229 ◽  
Author(s):  
K. Ueda ◽  
M. Hayashi ◽  
T. Tanaka ◽  
K. Hamano
Keyword(s):  
Chest Tube ◽  
Lung Resection ◽  
Chest Tube Drainage ◽  
Tube Drainage

Clinico-bacteriological Profile and Outcome of Empyema Thoracis in Children at a Tertiary Care Hospital of Central Nepal

2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Atanu Pan ◽  
Debarshi Jana
Keyword(s):  
Ct Scan ◽  
Broad Spectrum ◽  
Chest Tube ◽  
Chest Tube Drainage ◽  
Diagnostic Tools ◽  
High Morbidity ◽  
Care Hospital ◽  
Empyema Thoracis ◽  
First Line ◽  
Tube Drainage

Background: Empyema thoracis (ET) is a serious infection of the pleural space. Despite the availability of broad spectrum antibacterial, improved vaccination coverage and better diagnostic tools, Empyema Thoracis remains associated with high morbidity worldwide. Delay   in   early   diagnosis,   failure   to institute   appropriate   antimicrobial   therapy,   multidrug resistant   organisms,   malnutrition,   comorbidities,   poor health  seeking  behaviour  and  high treatment  cost  burden contribute  to  increased  morbidity  in  children. The available  treatment  options  include  intravenous broad-spectrum antibiotics  either  alone  or  in  combination  with surgical  procedure  (thoracocentesis,  chest  tube  drainage, fibrinolytic  therapy,  decortications  with  video  assistedthoracoscopic surgery (VATS) and open drainage. Methods: Fifty Children between 1 month to 16 years admitted in the Pediatrics Ward, PICU of College of Medical Sciences, Bharatpur,Nepal. Data analysis was done by SPSS 24.0. Results: Present study found that according to blood culture, 3(6.0%) patients had enterococcus, 40(80.0%) patients had no growth, 2(4.0%) patients had pseudomonas, 4(8.0%) patients had staphylococcus and 1(2.0%) patients had streptococcus. We found that 20(40.0%) patients had done CT scan thorax, 30(60.0%) patients had not done CT scan thorax and 32(64.0%) patients had Amoxiclav first line antibiotic and 18(36.0%) patients had Ceftriaxone first line antibiotic. Conclusions: Suitable antibiotics and prompt chest tube drainage is an effective method of treatment of childhood empyema, especially in resource-poor settings. Majority of the patients progress on this conservative management and have good recovery on follow up.  

Chest Tube Drainage of Transudative Pleural Effusions Hastens Liberation From Mechanical Ventilation

CHEST Journal ◽  
2011 ◽  
Vol 139 (3) ◽  
pp. 519-523 ◽  
Author(s):  
Yizhak Kupfer ◽  
Chanaka Seneviratne ◽  
Kabu Chawla ◽  
Kavan Ramachandran ◽  
Sidney Tessler
Keyword(s):  
Mechanical Ventilation ◽  
Chest Tube ◽  
Chest Tube Drainage ◽  
Pleural Effusions ◽  
Tube Drainage

Empyema in Children: Clinical Course and Long-Term Follow-up

PEDIATRICS ◽  
1984 ◽  
Vol 73 (5) ◽  
pp. 587-593 ◽  
Author(s):  
F. John McLaughlin ◽  
D. A. Goldmann ◽  
D. M. Rosenbaum ◽  
G. B. C. Harris ◽  
S. R. Schuster ◽  
...  
Keyword(s):  
Flow Rate ◽  
Chest Tube ◽  
Clinical Course ◽  
Chest Tube Drainage ◽  
Haemophilus Influenzae Type ◽  
Healthy Children ◽  
Long Term Outcome ◽  
Tube Drainage ◽  
Pleural Thickening

Sixteen patients, aged 1 month to 15 years, were studied to determine the clinical course and longterm outcome of empyema in previously healthy children. The pathogens responsible were Haemophilus influenzae type b (seven patients), Staphylococcus aureus (five patients), Streptococcus pneumoniae (three patients), and viridans group Streptococcus (one patient). All patients had loculated fluid showing on chest roentgenographs. Chest tube drainage yielded 20 to 1,495 mL (mean 293 mL) during the first three days, accounting for 83% of total drainage. Chest tubes were removed after three to 17 days (mean ten days). Only slight roentgenographic improvement showed during chest tube drainage. Three patients required an open thoracotomy because of an unsatisfactory clinical response. Hospitalization ranged from eight to 77 days (mean 25 days). All patients had residual pleural thickening shown on chest roentgenographs taken at discharge. Thirteen patients were seen 5 to 140 months (mean 66 months) after discharge. Findings from physical examination were normal in 12 of the 13 patients. Pulmonary function tests in ten of the 13 patients revealed (mean percent predicted ± 1 SD): vital capacity 92 ± 12, residual volume 85 ± 31, total lung capacity 92 ± 13, peak flow rate 96 ± 17, forced expiratory volume in 1 second 90 ± 13, and maximal mid-expiratory flow rate 93 ± 25. In all but one patient, findings on chest roentgenograms were normal or showed slight pleural thickening. Children with loculated empyema can be treated successfully with antibiotics and chest tube drainage. Few patients require open drainage, and further surgery is rarely required. The long-term outcome is excellent.

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