Abstract.Much controversy exists regarding the management of chest tubes following pulmonary lobectomy.The objective of this study was to analyse the effect of a new chest tube management protocol on clinical features,such as postoperative air leak,drain characteristics,30-day postoperative complications and length of hospital stay.
Background Pleural drainage is required after pulmonary lobectomy to evacuate air-leak and fluid.We compared the performance of the new Redax chest tube management following pulmonary lobectomyCoaxial Drain (CD) (Redax,Mirandola,Italy) with a standard chest tube (CT) in terms of fluid and air-leak evacuation..Methods Fifty-two patients receiving a 24-F CD under water-seal after pulmonary lobectomy through open surgery or video Author Ottavio Rena,Sara Parini,Esther Papalia,Fabio Massera,Davide Turello,Guido Baietto,Caterina CaPublish Year 2017Impact of the Learning Curve in the Use of a Novel There was no difference in the characteristics of the two matched groups.Compared with patients managed with a traditional device,those with the electronic one had 1.9-day shorter duration of chest tube drainage (2.5 vs.4.4 days; P chest tube management following pulmonary lobectomylt;0.0001) and a 1.5-day shorter hospital stay (4.5 vs.6
Following pulmonary resection,milking or stripping of chest tubes to promote drainage of the thorax was a routine practice,extrapolated from empyema management postoperatively due to the viscosity ofAuthor Yasushi Shintani,Soichiro Funaki,Naoko Ose,Takashi Kanou,Ryu Kanzaki,Masato Minami,Meinoshin OPublish Year 2018Recovery After a Lobectomy for Lung CancerSep 15,2020 chest tube management following pulmonary lobectomy#0183;The chest tube will be kept in place until the surgeon is confident that the drainage has stopped and no air is leaking.The removal usually occurs three to four days after surgery but may take longer if the procedure was extensive.If the tube is left in longer than normal,it doesn't mean your recovery is going poorly.
Chest tube management in patients undergoing lobectomy Introduction Other Section.Full expansion of remaining lung tissue is the most important issue following a pulmonary Positioning of chest tubes Other Section.Immediately following lung resection,air tends to collect in the retrosternal
Apr 01,2020 chest tube management following pulmonary lobectomy#0183;However,the management and safety of discharging patients with a chest tube after pulmonary segmentectomy have not been discussed adequately.In this study,95 patients received outpatient chest tube management after pulmonary segmentectomy.The patients were discharged after an average length of hospital stay of 2.58 days.Cited by 12Publish Year 2014Author Makoto Tanaka,Motoyasu Sagawa,Katsuo Usuda,Yuichiro Machida,Masakatsu Ueno,Nozomu Motono,TsutoManagement of chest tubes after pulmonary resection a Intrapleural chest tubes are routinely placed following pulmonary surgery.Furthermore,postoperative air leaks are a common complication following lung resections.This systematic review was performed to determine if chest tubes placed to suction compared with water seal alone resulted in decreased duration of postoperative air leaks.
chest tube management following pulmonary lobectomy#0183;There is no evidence concerning the appropriate drainage volume for indicating chest tube removal after pulmonary lobectomy.A prospective multi-institutional cohort study was designed to elucidate the safety of early chest tube removal after thoracoscopic lobectomy.Between April 2009 and November 2011,310 patients with suspected or histologically documented lung cancer were screened.Cited by 19Publish Year 2011Author Joost W M Bertholet,Joris J A Joosten,Mari chest tube management following pulmonary lobectomy#235;l E Keemers-Gels,Frits J H van den Wildenberg,Wouter (PDF) Chest tube management following pulmonaryMuch controversy exists regarding the management of chest tubes following pulmonary lobectomy.The objective of this study was to analyse the effect of a new chest tube management protocol on
Jan 01,2011 chest tube management following pulmonary lobectomy#0183;Chest tube management following pulmonary lobectomy change of protocol results in fewer air leaks 1.Introduction.Chest tube placement following pulmonary lobectomy is common practice.Postoperative pleural effusion 2.Materials and methods.Patients were selected from a surgical database in Cited by 1Publish Year 2018Author Fayez KheirPostoperative drainage with one chest tube is appropriate To expand postoperative residual lungs after pulmonary lobectomy,thoracic drainage with two chest tubes has been recommended.Several studies recently demonstrated that postoperative drainage with one chest tube (PD1) was as safe as that with two chest tubes (PD2).However,most of the patients in.Postoperative drainage with one chest tube is appropriate for pulmonary lobectomy a
place 2 CTs after open lobectomy and 1 CT after mini-mally invasive lobectomy.Academic surgeons are more likely than private surgeons to use 1 tube after open lo-bectomy,but both prefer 1 tube after minimally invasive lobectomy.Younger surgeons and high-volume surgeons are more likely to use 1 CT than senior surgeons andCited by 20Publish Year 2013Author Robert James Cerfolio,Ayesha S.Bryant,Loki Skylizard,Douglas J.MinnichElectronic versus traditional chest tube drainage Objectives Electronic drainage systems have shown superiority compared with traditional (water seal) drainage systems following lung resections,but the number of studies is limited.As part of a medico-technical evaluation,before change of practice to electronic drainage systems for routine thoracic surgery,we conducted a randomized controlled trial (RCT) investigating chest tube duration
Mar 01,2016 chest tube management following pulmonary lobectomy#0183;The use of chest tubes (CTs) after pulmonary lobectomy is routine and a universal practice; yet,there are distinct differences among surgeons in the types and sizes of CTs that are used and in how they are managed 1,2,3,4.For such an important component of thoracic surgical practice,there is scant literature that deals with these considerations.Cited by 24Publish Year 2008Author Robert J.Cerfolio,Ayesha S.Bryant,Lee M.ManiscalcoUtility of Objective Chest Tube Management AfterJul 01,2017 chest tube management following pulmonary lobectomy#0183;Brunelli and colleagues reported that air leakage and the difference between maximum and minimum pleural pressures digitally monitored through the chest tube using a microelectronic medical sensor technology (Digivent; Millicore AB,Danderyd,Sweden) during postoperative hour 6 were reliable predictors of PAL for patients managed by conventional chest drainage after lobectomy.We found
1 Introduction2 Patients and Methods3 Results4 DiscussionThe use of two chest tubes after pulmonary lobectomy is a common practice and it is advocated in the textbooks [1,2].One tube,which is placed anteriorly and directed to the apex,drains the air and the other,which is placed more posteriorly and inferiorly,drains the fluid.Why can a single tube not achieve the same purpose if it is used to drain both the air and the fluid? In addition,it is well known that patients complain of pain at the chest tube insertion site more than at the thoracotomy site.Therefore,theoreticSee more on academic.oupCited by 117Publish Year 2009Author Erdal Okur,Volkan Baysungur,Cagatay Tezel,Gokcen Sevilgen,Gokhan Ergene,Mertol Gokce,Semih HalPublished Jan 01,2009The Management of Chest Tubes in Patients With a Aug 01,2005 chest tube management following pulmonary lobectomy#0183;If the patient had a lower lobectomy performed,one straight chest tube was placed in the anterior apex and a right angle tube was positioned in the posterior base.Chest Tube Management Chest tubes were connected to the drainage system and then 20 cm H 2 O of suction was added on the day of surgery.Cited by 6Publish Year 2018Author Ryoichi Nakanishi,Yoshihisa Fujino,Masato Kato,Takashi Miura,Manabu Yasuda,Risa Oda,Keisuke YoRelated searches for chest tube management following pulchest tube after lung lobectomypulmonary lobectomy surgerychest tubes after lobectomypost lobectomy chest tubewhat is a lobectomy of lunglung lobectomy procedurepain after lung lobectomylobectomy and pneumonia12345Next
Chest tube suction following pulmonary lobectomy Suctioning of chest tubes has the theoretical advantage of improving apposition of visceral pleura to the parietal pleura.Furthermore it may alleviate progressive subcutaneous emphysema (27).Cited by 7Publish Year 2017Author Kazuya Takamochi,Kota Imashimizu,Mariko Fukui,Tatsuo Maeyashiki,Mikiko Suzuki,Takuya Ueda,HiroChest tube management in patients undergoing lobectomy chest tube management following pulmonary lobectomy#0183;Introduction.Full expansion of remaining lung tissue is the most important issue following a pulmonary lobectomy,for which chest tubes are used for proper drainage of both air and fluid,with the outflow considered to reflect the condition of the thoracic cavity after surgery (1,2).Postoperative management of chest tubes is largely based on protocols developed by
Provide supplemental oxygen and monitor the patient as you would during any invasive procedure.After chest- tube insertion,the patient may lose several hundred milliliters of blood or transudate,potentially leading to hypotension.So make sure emergency airwayCited by 7Publish Year 2017Author Shugeng Gao,Zhongheng Zhang,Javier Arag chest tube management following pulmonary lobectomy#243;n,Alessandro Brunelli,Stephen Cassivi,Ying Chai,Chang Comparison of digital and traditional thoracic drainage Objective The objective of this study was to evaluate whether a digital thoracic drainage system (group D) is clinically useful compared with a traditional thoracic drainage system (group T) in chest tube management following anatomic lung resection.Methods Patients scheduled to undergo segmentectomy or lobectomy were prospectively randomized before surgery to group D or T.
Abstract.Prolonged air leaks are the most common postoperative complication following pulmonary resection,leading to increased hospital length of stay (LOS) and cost.This study assesses the safety of discharging patients home with a chest tube (CT) after pulmonary resection.A retrospective review was performed of a single surgeon's experience with pulmonary resections from January 2010 to JanuaryCited by 8Publish Year 2015Author Anna M Royer,Jeremy S Smith,Ashley Miller,Marlana Spiva,Jenny M Holcombe,James R HeadrickChest drainage systems and management of air leaks after a Many factors influence the decision to remove chest tubes and how PALs are evaluated and managed.These factors greatly influence hospital length of stay,postoperative pain and number of chest tube days.Apical spaces and PALs after a pulmonary resection.After a pulmonary lobectomy,an expected finding is a postresection apical space.
Was this helpful?People also askWhat is postoperative chest tube placement?What is postoperative chest tube placement?Chest tube placement following pulmonary lobectomy is common practice.Postoperative pleural effusion is drained and in case of an air leak,development of a (tension-)-pneumothorax is prevented.Still much controversy exists about the management of chest tubes in the postoperative period.Chest tube management following pulmonary lobectomy Management of Subcutaneous Emphysema After Pulmonary May 01,2008 chest tube management following pulmonary lobectomy#0183;Recalcitrant SE emphysema (SE that persists despite increasing chest tube suction) is more likely in patients who undergo lobectomy and is best treated by video-assisted thorascopic surgery with pneumolysis between the leaking lung,which is usually partially adhered to the previously opened intercostal space.
Jun 01,2013 chest tube management following pulmonary lobectomy#0183;In conclusion,this prospective randomized study shows that removing a chest tube after pulmonary resection at the end of expiration while the patient performs a Valsalva maneuver has a lower incidence of nonclinically significant pneumothorax than removing itThe management of chest tubes after pulmonary lobectomy The management of chest tubes after pulmonary lobectomy-driven by dogma or by science? Fernando HC(1).Author information (1)Department of Surgery,Inova Fairfax Medical Campus,Falls Church,VA,USA.Comment on J Thorac Dis.2017 Sep;9(9):3255-3264.