Digital drainage system: how far can we go?

Costa, Altair da Silva; Leão, Luiz Eduardo Villaça; Succi, José Ernesto; Rymkiewicz, Erika; Folador, Juliana; Kazantzis, Thamara

doi:10.1590/s1806-37132014000500015

Cited by 1 publication

(2 citation statements)

References 7 publications

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“…It is necessary that the health care team be qualified to manage the drainage system correctly. 1 The measurement or grading of air leaks is still subjective and depends on the level of experience of professionals in quantifying them. Therefore, the interpretation of air leaks is related to observer variability.…”

Section: Introductionmentioning

confidence: 99%

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An initial experience with a digital drainage system during the postoperative period of pediatric thoracic surgery

et al. 2016

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Objective:To report an initial experience with a digital drainage system during the postoperative period of pediatric thoracic surgery. Methods:This was a prospective observational study involving consecutive patients, ≤ 14 years of age, treated at a pediatric thoracic surgery outpatient clinic, for whom pulmonary resection (lobectomy or segmentectomy via muscle-sparing thoracotomy) was indicated. The parameters evaluated were air leak (as quantified with the digital system), biosafety, duration of drainage, length of hospital stay, and complications. The digital system was used in 11 children (mean age, 5.9 ± 3.3 years). The mean length of hospital stay was 4.9 ± 2.6 days, the mean duration of drainage was 2.5 ± 0.7 days, and the mean drainage volume was 270.4 ± 166.7 mL. The mean maximum air leak flow was 92.78 ± 95.83 mL/min (range, 18-338 mL/min). Two patients developed postoperative complications (atelectasis and pneumonia, respectively). The use of this digital system facilitated the decision-making process during the postoperative period, reducing the risk of errors in the interpretation and management of air leaks.

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Section: Introductionmentioning

confidence: 99%

“…Therefore, the interpretation of air leaks is related to observer variability. 1 , 2 Interobserver disagreement may occur, even between experienced observers. When uncertainty resulting from the use of a traditional system persists, the chest tube may be closed and radiographic assessment may be performed.…”

Section: Introductionmentioning

confidence: 99%