An automated line-clearing chest tube system after cardiac surgery

Obafemi, Oluwatomisin; Wang, Shuangfeng; Bajaj, Simar S.; O’Donnell, Christian T.; Elde, Stefan; Boyd, Jack

doi:10.1016/j.xjon.2022.02.020

Cited by 2 publications

(4 citation statements)

References 21 publications

(25 reference statements)

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“…Similar in concept, a system that uses integrated suction and automated air sweep has recently been developed for sterile, active chest tube clearance. 42,43 To date, its feasibility has been demonstrated in 27 patients. Additional evidence will be required before its ability to mitigate the risk of tube occlusion and associated retained blood complications can be comprehensively compared with conventional drains.…”

Section: Maintenance Of Patencymentioning

confidence: 99%

Chest Tube Management: Past, Present, and Future Directions for Developing Evidence-Based Best Practices

Lobdell¹,

Engelman

2023

Innovations�(Phila)

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In the field of modern cardiothoracic surgery, chest drainage has become ubiquitous and yet characterized by a wide variation in practice. Meanwhile, the evolution of chest drain technology has created gaps in knowledge that represent opportunities for new research to support the development of best practices in chest drain management. The chest drain is an indispensable tool in the recovery of the cardiac surgery patient. However, decisions about chest drain management—including those about type, material, number, maintenance of patency, and the timing of removal—are largely driven by tradition due to a scarcity of quality evidence. This narrative review surveys the available evidence regarding chest-drain management practices with the objective of highlighting scientific gaps, unmet needs, and opportunities for further research.

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Section: Maintenance Of Patencymentioning

confidence: 99%

Chest Tube Management: Past, Present, and Future Directions for Developing Evidence-Based Best Practices

Lobdell¹,

Engelman

2023

Innovations�(Phila)

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“…In this issue of the Journal , Obafemi and colleagues 4 present the Centese Thoraguard Chest Tube System (CTCTS) to resolve the tube clotting issue. The device has an automated air sweep mechanism integrated with an automatic clearance system.…”

mentioning

confidence: 99%

“…In addition, whereas the competitor of the CTCTS system (PleuraFlow) offers a clearance system for both curved and straight chest tubes, this conclusion cannot be deducted from the manuscript by Obafemi and colleagues. 4 Moreover, PleuraFlow data suggest a significant reduction in retained blood flow products, reduced hospital length of stay, and atrial fibrillation incidence, 6 whereas Obafemi and colleagues 4 have excluded patients with previous atrial fibrillation. Future studies comparing Blake drains (Blake drains, Ethicon, Inc) (which are common in the United States) with the CTCTS are mandatory to offer a complete overview of the current available treatment options.…”

mentioning

confidence: 99%

“…Complications include a greater incidence of reinterventions/urgent operations, clot malformation due to coagulation disorders, and the use of blood products while various surgical strategies are adopted to reduce its incidence. [1][2][3] In this issue of the Journal, Obafemi and colleagues 4 present the Centese Thoraguard Chest Tube System (CTCTS) to resolve the tube clotting issue. The device has an automated air sweep mechanism integrated with an automatic clearance system.…”

mentioning

confidence: 99%

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