scholarly journals COMPARISON OF CHEST DRAINAGE TUBE TYPES (BLAKE VS. THORACIC CATHETER) AFTER LUNG RESECTION

Respirology ◽  
2019 ◽  
Vol 24 (S2) ◽  
pp. 257-258
Keyword(s):  
Lung Resection ◽  
Drainage Tube ◽  
Chest Drainage ◽  
Chest Drainage Tube

Granulomatosis with polyangiitis of the skin induced by a chest drainage tube

2013 ◽  
Vol 23 (4) ◽  
pp. 565-567
Author(s):  
Chieko Ueda ◽  
Teruhiko Makino ◽  
Megumi Mizawa ◽  
Osamu Norisugi ◽  
Tadamichi Shimizu
Keyword(s):  
Granulomatosis With Polyangiitis ◽  
Drainage Tube ◽  
Chest Drainage ◽  
Chest Drainage Tube

scholarly journals Study on Chest Drainage Tube Fixation

2005 ◽  
Vol 41 (Supplement) ◽  
pp. 98-99
Author(s):  
Machiko Naito ◽  
Kazuhiko Shinohara
Keyword(s):  
Drainage Tube ◽  
Chest Drainage ◽  
Chest Drainage Tube

scholarly journals The application analysis of 8F ultrafine chest drainage tube for thoracoscopic lobectomy of lung cancer

2020 ◽  
Author(s):  
Yongbin Song ◽  
Chong Zheng ◽  
Shaohui Zhou ◽  
Hongshang Cui ◽  
Jincong Wang ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Postoperative Hospital Stay ◽  
Drainage Tube ◽  
Chest Drainage ◽  
Drainage Volume ◽  
Thoracoscopic Lobectomy ◽  
Drainage Time ◽  
Chest Drainage Tube ◽  
Group A ◽  
Group B

Abstract Background Currently, thoracoscopic lobectomy is widely used in clinical practice, and postoperative placement of ultrafine drainage tube has advantages of reducing postoperative pain and accelerating postoperative recovery in patients. This study aimed to investigate the feasibility and safety of placement of 8F ultrafine chest drainage tube after thoracoscopic lobectomy and its superiority over traditional 24F chest drainage tube. Methods A retrospective data analysis was conducted in 134 patients who underwent placement of 8F ultrafine chest drainage tube or 24F chest drainage tube with thoracoscopic lobectomy for lung cancer from January 2018 to December 2019. Patients with 8F ultrafine chest drainage tube were included in group A (n = 67) and those with 24F chest drainage tube were included in group B (n = 67). The drainage time, the total drainage volume, postoperative hospital stay, postoperative pain score and postoperative complication of both groups were analyzed and compared. Results Compared to group B, group A had lower pain scores on postoperative days 1, 2 and 3 (3.72 ± 0.65point vs 3.94 ± 0.67point, P = 0.027; 2.72 ± 0.93point vs 3.13 ± 1.04point, P = 0.016; and 1.87 ± 0.65point vs 2.39 ± 1.22point, P = 0.005), shorter drainage time (4.25 ± 1.79d vs 6.04 ± 1.96d, P = 0.000), fewer drainage volume (1100.42 ± 701.57 ml vs 1369.39 ± 624.25 ml, P = 0.021); and shorter postoperative hospital stay (8.46 ± 2.48d vs 9.37 ± 1.70d, P = 0.014). Postoperative complications such as subcutaneous emphysema, pulmonary infection, atelectasis, chest tube reinsertion and intrathoracic hemorrhage showed no differences between both groups (P > 0.05). Conclusion Compared with 24F chest drainage tube, the application of an 8F ultrafine chest drainage tube after thoracoscopic lobectomy has significantly shortened the drainage time, reduced the total drainage volume, reduced the postoperative pain degree, shortened the hospital day, and effectively detected postoperative intrathoracic hemorrhage. So, it is considered as an effective, safe and reliable drainage method.

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.

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.

scholarly journals The application analysis of 8F ultrafine chest drainage tube in thoracoscopic lobectomy for lung cancer

2020 ◽  
Author(s):  
Yongbin Song ◽  
Chong Zheng ◽  
Shaohui Zhou ◽  
Hongshang Cui ◽  
Jincong Wang ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Postoperative Pain ◽  
Hospital Stay ◽  
Postoperative Hospital Stay ◽  
Drainage Tube ◽  
Chest Drainage ◽  
Drainage Volume ◽  
Thoracoscopic Lobectomy ◽  
Drainage Time ◽  
Chest Drainage Tube

Abstract Background：Currently, thoracoscopic lobectomy is widely used in clinical practice, and postoperative placing of ultrafine drainage tube has advantages in reducing postoperative pain and accelerating postoperative recovery of patients.This study aim to investigate the feasibility and safety of placing 8F ultrafine chest drainage tube after thoracoscopic lobectomy and its superiority over traditional 24F chest drainage tube.Methods: A retrospective data analysis was undertaken on 134 patients who placed 8F ultrafine chest drainage tube or 24F chest drainage tube with thoracoscopic lobectomy for lung cancer from January 2018 to December 2019 by our surgical team.Patients divided into Group A（n=67）with 8F ultrafine chest drainage tube and Group B（n=67）with 24F chest drainage tube.The drainage time, the total drainage volume,postoperative hospital stay,postoperative pain score and postoperative complication of both groups were compared.Results: Compared to B group,the A group had lower pain scores on postoperative days 1,2 and 3(3.72±0.65point vs 3.94±0.67point,P=0.027 ;2.72±0.93point vs 3.13±1.04point,P=0.016;1.87±0.65point vs 2.39±1.22point,P=0.005),shorter drainage time(4.25±1.79d vs 6.04±1.96d,P=0.000),fewer drainage volume(1100.42±701.57ml vs 1369.39±624.25ml,P=0.021);shorter postoperative hospital stay(8.46±2.48d vs 9.37±1.70d,P=0.014).Postoperative complication such as subcutaneous emphysema,pulmonary infection,atelectasis,chest tube reinsertion and intrathoracic hemorrhage displayed no difference between both group as well(P >0.05).Conclusion:Compared with 24F chest drainage tube, the application of 8F ultrafine chest drainage tube after thoracoscopic lobectomy can significantly shorten the drainage time,reduce the total drainage volume,reduce the postoperative pain degree,shorten the hospital day,and effectively detect postoperative intrathoracic hemorrhage. It is an effective, safe and reliable drainage method.

Effects of position of chest drainage tube on volume drained and pressure

1999 ◽  
Vol 8 (5) ◽  
pp. 319-323 ◽  
Author(s):  
JO Schmelz ◽  
D Johnson ◽  
JM Norton ◽  
M Andrews ◽  
PA Gordon
Keyword(s):  
Repeated Measures ◽  
Volume Of Fluid ◽  
Pleural Space ◽  
Drainage Tube ◽  
Chest Drainage ◽  
Entire Study ◽  
Repeated Measures Design ◽  
Chest Drainage Tube ◽  
Significant Difference ◽  
Difference Test

BACKGROUND: The nursing practice of avoiding dependent loops in the tubing of chest drainage systems because such loops may impede drainage and alter the intrapleural pressure is not research based. OBJECTIVES: To determine if the volume of fluid drained and pressure vary when the chest drainage tubing is straight, coiled, has a dependent loop, or has a dependent loop that is periodically lifted and drained. METHODS: A repeated-measures design was used. For each tubing position, 500 mL of fluid was infused into the pleural space of 8 adult pigs during 45 minutes. The volume of fluid drained and the pressure at 2 locations within the drainage tubing were measured for 1 hour. RESULTS: After 60 minutes, significantly less fluid (least significant difference test, P = .03) was drained with the dependent-loop tubing position (65 mL) than with the other 3 positions. However, the amount of fluid drained was not significantly different among the lift and drain (250 mL), coiled (301 mL), or straight (337 mL) tubing positions. Throughout the entire study, pressure at the connection between the chest tube and the drainage tube was significantly higher (least significant difference test, P = .003) for the dependent loop with and without periodic lifting and draining. CONCLUSIONS: Straight and coiled tube positions are optimal for draining fluid from the pleural space. If a dependent loop cannot be avoided, lifting and draining it every 15 minutes will maintain adequate drainage.

scholarly journals The application analysis of 8F ultrafine chest drainage tube for thoracoscopic lobectomy of lung cancer

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Yongbin Song ◽  
Chong Zheng ◽  
Shaohui Zhou ◽  
Hongshang Cui ◽  
Jincong Wang ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Postoperative Pain ◽  
Hospital Stay ◽  
Postoperative Hospital Stay ◽  
Drainage Tube ◽  
Chest Drainage ◽  
Drainage Volume ◽  
Thoracoscopic Lobectomy ◽  
Drainage Time ◽  
Chest Drainage Tube

Abstract Background Currently, thoracoscopic lobectomy is widely used in clinical practice, and postoperative placement of ultrafine drainage tube has advantages of reducing postoperative pain and accelerating postoperative recovery in patients. This study aimed to investigate the feasibility and safety of placement of 8F ultrafine chest drainage tube after thoracoscopic lobectomy and its superiority over traditional 24F chest drainage tube. Methods A retrospective data analysis was conducted in 169 patients who underwent placement of 8F ultrafine chest drainage tube or 24F chest drainage tube with thoracoscopic lobectomy for lung cancer from January 2018 to December 2019. Propensity score matching (PSM) was used to reduce bias between the experimental group and the control group. After PSM, 134 patients (67 per group) were enrolled. The drainage time, the total drainage volume, postoperative hospital stay, postoperative pain score and postoperative complication of both groups were analyzed and compared. Results Compared to group B, group A had lower pain scores on postoperative days 1, 2 and 3 (3.72 ± 0.65point vs 3.94 ± 0.67point, P = 0.027; 2.72 ± 0.93point vs 3.13 ± 1.04point, P = 0.016; and 1.87 ± 0.65point vs 2.39 ± 1.22point, P = 0.005), shorter drainage time (4.25 ± 1.79d vs 6.04 ± 1.96d, P = 0.000), fewer drainage volume (1100.42 ± 701.57 ml vs 1369.39 ± 624.25 ml, P = 0.021); and shorter postoperative hospital stay (8.46 ± 2.48d vs 9.37 ± 1.70d, P = 0.014). Postoperative complications such as subcutaneous emphysema, pulmonary infection, atelectasis, chest tube reinsertion and intrathoracic hemorrhage showed no differences between both groups (P > 0.05). Conclusion Compared with 24F chest drainage tube, the application of an 8F ultrafine chest drainage tube after thoracoscopic lobectomy has significantly shortened the drainage time, reduced the total drainage volume, reduced the postoperative pain degree, shortened the hospital day, and effectively detected postoperative intrathoracic hemorrhage. So, it is considered as an effective, safe and reliable drainage method.

scholarly journals Comparison of chest drainage tube types (24Fr silastic vs. thoracic catheter) after lung resection

2020 ◽  
Author(s):  
Tai Hato ◽  
Masatoshi Yamaguchi ◽  
Hiroaki Kashimada ◽  
Ato Sugiyama ◽  
Yoshiaki Inoue ◽  
...  
Keyword(s):  
Subcutaneous Emphysema ◽  
Lung Resection ◽  
Patient Characteristics ◽  
Chest Drainage ◽  
X Ray ◽  
Chest Drainage Tube ◽  
Single Lumen ◽  
Postoperative Drainage ◽  
Chest X Ray ◽  
Water Seal

Abstract Background: Silastic drains (SDs) are widely used for postoperative chest drainage. We performed a direct comparison of SDs and conventional single-lumen thoracic catheters (TCs) with similar sizes.Methods: We performed a historically controlled retrospective study. SDs (24 Fr in size) were used for postoperative drainage from September 2017 to May 2018, and TCs (24 or 28Fr) were used from June 2018 to March 2019. Drainage tubes were maintained with a water seal alone. A comparison was performed of the volume and the speed of fluid until 48 hrs after surgery, the undrained area on chest X-ray, expansion of subcutaneous emphysema, and the duration of drainage.Results: One hundred fifty-eight patients with SDs and one hundred fifty-five patients with TCs were included. The patient characteristics were equivalent between the groups. The median length of drainage was two days for both groups. The fluid drainage speed was similar between the groups. While the incidence of expansion of subcutaneous emphysema was equivalent for both groups, reinsertion of drainage tubes was more frequent in the SD group due to insufficient air drainage.Conclusions: SDs and TCs have almost equivalent drainage performances. For patients with a risk of massive air leakage, SDs should be avoided.

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