(PDF) Chest tube management following pulmonary lobectomy chest tube management following pulmonary lobectomy

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 chest tube management following pulmonary lobectomy Chest drainage systems and management of air leaks after Pompili C, Brunelli A, Salati M, et al. Impact of the learning curve in the use of a novel electronic chest drainage system after pulmonary lobectomy a case-matched analysis on the duration of chest tube usage. Interact Cardiovasc Thorac Surg 2011; 13:490-3; discussion 493. 10.1510/icvts.2011.280941

Chest tube management in patients undergoing

Following an upper or middle lobectomy, we place the chest tube in the upper area of the thoracic cavity, while we place that in the lower area for both air and fluid drainage following a lower lobectomy. In patients with massive air leakage, pleural effusion, or hemorrhage, two chest tubes are routinely used. Types of chest tubes Other Section Diagnostic value of routine chest tube tip culture in chest tube management following pulmonary lobectomyThe chest tube tip cultures sensitivity, specificity, PPV and NPV were 33%, 84%, 18% and 92%, respectively for infection after chest tube removal. In the patients with SSI occurring after chest tube removal 3/4 chest tube tips were positive and in pneumonia occurring after chest tube removal this was the case for 3/14.

Diagnostic value of routine chest tube tip culture in chest tube management following pulmonary lobectomy

The chest tube tip cultures sensitivity, specificity, PPV and NPV were 33%, 84%, 18% and 92%, respectively for infection after chest tube removal. In the patients with SSI occurring after chest tube removal 3/4 chest tube tips were positive and in pneumonia occurring after chest tube removal this was the case for 3/14. Electronic chest tube drainage devices and low suction chest tube management following pulmonary lobectomyHolbek et al. address an important question about the optimal management of chest tubes following elective VATS lobectomy. There is a growing body of literature supporting the use of electronic drainage devices because they provide consistent pressure, facilitate interpretation of air leaks by quantifying their volume and duration, and improve chest tube management following pulmonary lobectomy

Factors in the Selection and Management of Chest Tubes chest tube management following pulmonary lobectomy

Background This study determined patterns of chest tube (CT) selection and management after open lobectomy and minimally invasive lobectomy by thoracic surgeons. Methods Surveys were sent electronically to 5,175 thoracic surgeons, and 475 were completed. Responses, blinded so individuals could not be identified, were analyzed and compared according to surgeon characteristics (academic chest tube management following pulmonary lobectomy Factors in the Selection and Management of Chest Tubes chest tube management following pulmonary lobectomyThe 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.

Management of chest tubes after pulmonary resection a chest tube management following pulmonary lobectomy

There is moderate-quality evidence that chest tube suction is superior to water seal in the incidence of pneumothorax; however, the clinical significance of this finding is unclear. Based on the results of this analysis, we are unable to make any recommendations for the management of chest tubes following pulmonary resection. Management of chest tubes after pulmonary resection a chest tube management following pulmonary lobectomyThere is moderate-quality evidence that chest tube suction is superior to water seal in the incidence of pneumothorax; however, the clinical significance of this finding is unclear. Based on the results of this analysis, we are unable to make any recommendations for the management of chest tubes following pulmonary resection.

Postoperative chest tube management for patients chest tube management following pulmonary lobectomy

Postoperative management of chest tubes following lobectomy remains controversial and might eventually lead to increased health care cost and unnecessary interventions ().Combining clinical expertise with the best available evidence from systematic reviews and/or meta-analysis have shown to decrease variability in clinical practice leading to improved health care outcomes (). Postoperative chest tube management for patients chest tube management following pulmonary lobectomyPostoperative management of chest tubes following lobectomy remains controversial and might eventually lead to increased health care cost and unnecessary interventions ().Combining clinical expertise with the best available evidence from systematic reviews and/or meta-analysis have shown to decrease variability in clinical practice leading to improved health care outcomes ().

Postoperative drainage with one chest tube is appropriate chest tube management following pulmonary lobectomy

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 Recovery After a Lobectomy for Lung CancerA lobectomy removal of a lobe in a lungis major surgery usually offered as a treatment for non-small cell lung cancer (NSCLC). You'll need to take your time recovering from this procedure and will go through a period of healing in the hospital and then at home. During this time, you'll be weaned from a ventilator, have chest tubes that chest tube management following pulmonary lobectomy

Should chest drains be put on suction or not following chest tube management following pulmonary lobectomy

Chest tube management following pulmonary lobectomy change of protocol results in fewer air leaks In patients with extensive subcutaneous emphysema, which technique achieves maximal clinical resolution infraclavicular incisions, subcutaneous drain insertion or suction on in situ chest Should chest drains be put on suction or not following chest tube management following pulmonary lobectomyChest tube management following pulmonary lobectomy change of protocol results in fewer air leaks In patients with extensive subcutaneous emphysema, which technique achieves maximal clinical resolution infraclavicular incisions, subcutaneous drain insertion or suction on in situ chest

Single versus double chest drains after pulmonary chest tube management following pulmonary lobectomy

The application of thoracic drainage after lobectomy has been in the clinic for many years. By placing a closed chest drainage tube, it can achieve the effects of draining gas and fluids from the chest cavity, promoting lung expansion, preventing chest infections, and rebuilding negative pressure .Meanwhile, by observing the amount, characteristics of drainages, and the fluctuation of chest tube management following pulmonary lobectomy The Society for Translational Medicine clinical practice chest tube management following pulmonary lobectomyChest tube clearance by milking and stripping offers no advantages in patients after lobectomy (2B). 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 .

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Antanavicius G, Lamb J, Papasavas P, Caushaj P. Initial chest tube management after pulmonary resection. Am Surg 2005; 71:416. Brunelli A, Cassivi SD, Halgren L. Risk factors for prolonged air leak after pulmonary resection. Thorac Surg Clin 2010; 20:359. Leo F, Duranti L, Girelli L, et al. What are the goals of Chest Tube Management?What are the goals of Chest Tube Management?Based on these findings, combined with our own review of the literature, we developed a chest tube management protocol. The main goals of the protocol were to limit the duration of chest tube drainage and to avoid (unnecessary) suction to chest tubes.Chest tube management following pulmonary lobectomy chest tube management following pulmonary lobectomy

When to remove a chest tube after lung cancer surgery?When to remove a chest tube after lung cancer surgery?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.Recovery After a Lobectomy for Lung Cancer When was the new Chest Tube protocol introduced?When was the new Chest Tube protocol introduced?We retrospectively analysed 133 patients who underwent pulmonary lobectomy, from January 2005 to December 2008. A new chest tube protocol was introduced on 1 January 2007 and included placement of a single chest tube and early conversion to water seal.Chest tube management following pulmonary lobectomy chest tube management following pulmonary lobectomy

chest tube management following pul

post lobectomy chest tube lung lobectomy procedure lobectomy for lung cancer recovery from lobectomy of lung lobectomy lung may treat recovery from lung surgery lobectomy chest tube management following pulpost lobectomy chest tube lung lobectomy procedure lobectomy for lung cancer recovery from lobectomy of lung lobectomy lung may treat recovery from lung surgery lobectomy Chest tube management in patients undergoing lobectomy chest tube management following pulmonary lobectomyIntroduction. 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

Author Yasushi Shintani, Soichiro Funaki, Naoko Ose, Takashi Kanou, Ryu Kanzaki, Masato Minami, Meinoshin O chest tube management following pulmonary lobectomy Publish Year 2018 (PDF) Chest tube management following pulmonary

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 chest tube management following pulmonary lobectomy.Chest tube management following pulmonary 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.

Cited by 10 Publish Year 2017 Author Kristina Baringer, Steve Talbert chest tube management following pul

drain tube after lung surgery life expectancy after lung lobectomy what to expect after lobectomy robotic lung surgery recovery time air leak post lobectomy lobectomy aftercare pneumothorax after lobectomy vat lobectomy recovery Chest tube management following pulmonary lobectomy chest tube management following pulmonary lobectomyMuch 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.Cited by 20 Publish Year 2011 Author Joost W M Bertholet, Joris J A Joosten, Mariël E Keemers-Gels, Frits J H van den Wildenberg, Wouter chest tube management following pulmonary lobectomy Chest tube management following pulmonary Introduction Materials and Methods Results Discussion Conclusions 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. The results of a literature review were combined to create an evidence-based protocol for the management of chest tubes following pulmonary lobectomy . The objective of this study was to analyse the effect of the proto See more on academic.oupCited by 20 Publish Year 2011 Author Joost W M Bertholet, Joris J A Joosten, Mariël E Keemers-Gels, Frits J H van den Wildenberg, Wouter chest tube management following pulmonary lobectomy 12 mins Can a breathing tube be left in place after a lobectomy?Can a breathing tube be left in place after a lobectomy?Ventilator Use The breathing tube that allowed the ventilator to breathe for you during surgery is sometimes left in place while you're in recovery after a lobectomy. Since this can cause some anxiety, you may continue to be under light sedation until the tube is removed. 1 Recovery After a Lobectomy for Lung Cancer

6 mins Chest drainage systems and management of air leaks

Pompili C, Brunelli A, Salati M, et al. Impact of the learning curve in the use of a novel electronic chest drainage system after pulmonary lobectomy a case-matched analysis on the duration of chest tube usage. Interact Cardiovasc Thorac Surg 2011; 13:490-3; discussion 493. 10.1510/icvts.2011.280941

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