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

scholarly journals Institutional protocol to standardize the chest drainage system management, from surgery to nursing care, at a regional hospital in northern Paraná

2016 ◽  
Vol 38 (2) ◽  
pp. 173
Author(s):  
Amanda Carina Coelho de Morais ◽  
Maurício Medeiros Lemos ◽  
Vlaudimir Dias Marques ◽  
César Orlando Peralta Bandeira
Keyword(s):  
Prospective Observational Study ◽  
Drainage System ◽  
Pleural Space ◽  
Regional Hospital ◽  
System Management ◽  
Pleural Drainage ◽  
Chest Drainage ◽  
Drainage Time ◽  
Water Seal ◽  
Drainage Technique

The purpose of chest drainage is to allow lung re-expansion and the reestablishment of the subatmospheric pressure in the pleural space. Properly managing the drainage system minimizes procedure-related complications. This prospective observational study evaluated adult patients undergoing water-seal chest drainage, admitted to our hospital and accompanied by residents and tutors, aiming to check their care. One hundred chest drainages were monitored. The average age was 38.8 years old. The average drainage time was 6.7 days. Trauma was the prevalent cause (72%) for the indication of pleural drainage. The obstruction of the system occurred in 6% of the cases; 5% subcutaneous emphysema, 1% infection around the drain; 5% accidental dislodgement of the drain, and in 5% of the patients, there were some complications when removing the drain. Failures in chest drainage technique and management were present, and reflected in some complications that are inherent to the procedure, although it is known that there are intrinsic complications. This study aimed to assess the management of closed chest drainage systems and standardize the care provided in such procedure. 

scholarly journals PRACTICAL ASPECTS ABOUT CLOSED CHEST DRAINAGE CARE: A LITERATURE REVIEW

2017 ◽  
Vol 7 (2) ◽  
pp. 298-307
Author(s):  
Aline Cristina Tavares ◽  
Pedro Nabuco De Araujo
Keyword(s):  
Drainage System ◽  
Final Analysis ◽  
Open Drainage ◽  
Chest Drainage ◽  
Closed Drainage ◽  
Efficient Communication ◽  
Institutional Cost ◽  
Multidisciplinary Staff ◽  
Closed Drainage System ◽  
Pleura Effusion

Context: The drained pleural contents may vary, as well as their drainage, however closed drainage system is the most frequent one and reaches flaws along those who are in charge of their management. Objetive: Provide a comprehensive review about close chest drainage. Methods: A systematic search of the PubMed and Medline databases was conducted on closed drainage system using the following keyword combination: chest tubes AND drainage.  Results: From eight hundred eight-three articles retrieved after our preliminary search, 17 articles were chosen for final analysis. Representative schemes were drawn to better understanding of the three types of chest drainage systems for pleura effusion: (i) the closed drainage system; (ii) the open drainage system; and (iii) the suction drainage system. Representative pictures were also developed in order to facilitate additional care in the field. Conclusions: Bringing information together about chest tube management in closed drainage system may imply in a better approach to the patients, minimize institutional cost, minimize material waste and promote efficient communication among the multidisciplinary staff.  Understanding details about tubular tube, pig tail tube, one-way bag, one-way valve and collectors is the only way to perform a better approach to the patient who needs closed drainage system.

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 Air leak pattern shown by digital chest drainage system predict prolonged air leakage after pulmonary resection for patients with lung cancer

2018 ◽  
Vol 10 (6) ◽  
pp. 3714-3721 ◽  
Author(s):  
Yasushi Shintani ◽  
Soichiro Funaki ◽  
Naoko Ose ◽  
Tomohiro Kawamura ◽  
Ryu Kanzaki ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Pulmonary Resection ◽  
Drainage System ◽  
Air Leakage ◽  
Air Leak ◽  
Chest Drainage ◽  
Digital Chest

Positioning of chest tubes: effects on pressure and drainage

1997 ◽  
Vol 6 (1) ◽  
pp. 33-38 ◽  
Author(s):  
PA Gordon ◽  
JM Norton ◽  
JM Guerra ◽  
ST Perdue
Keyword(s):  
Beneficial Effect ◽  
Chest Tube ◽  
Drainage System ◽  
Drainage Tube ◽  
Chest Tubes ◽  
Glass Bottle ◽  
Chest Drainage ◽  
Tube Drainage ◽  
Chest Drainage Tube ◽  
Patient’S Outcome

BACKGROUND: Maintaining a chest drainage tube in a position that is free of dependent loops, as is commonly recommended, can be very difficult. Is there a beneficial effect on the patient's outcome when the drainage tubing is free of dependent loops? OBJECTIVE: The purpose of this study was to determine, under controlled laboratory conditions, (1) what are the differences in drainage with tubing in straight, coiled, or dependent-loop (with and without periodic lifting) positions and (2) what are the differences in pressure with each of the four tubing conditions? METHODS: In laboratory simulations, pressure and drainage were observed in a chest tube drainage system that was connected to a glass bottle simulating the lung. Pressure and drainage were measured for 1 hour with the drainage tubing placed in straight, coiled, and dependent-loop positions. For the periodic lifting condition, the dependent loop was lifted and drained every 15 minutes. RESULTS: We found no differences in pressure or drainage between straight and coiled positions of the drainage tubing. However, with the dependent-loop position, pressure at the "lung" side increased from about -18 cm H2O to as high as +8 cm H2O. Drainage dropped to zero without tube lifting. When the tube was lifted and drained every 15 minutes, there was no difference in drainage with the tubing in the straight or coiled positions. CONCLUSION: Findings support recommendations to maintain tubing free of dependent loops by placing tubing in straight or coiled positions. Frequently lifting and draining a dependent loop will provide the same total drainage amount as maintaining the tubing in a straight or coiled position, but pressures may be altered sufficiently within the tube to exceed recommended levels.

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