2011
DOI: 10.4103/0256-4947.83216
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Abstract: BACKGROUND AND OBJECTIVES:We investigated the efficacy of pleural drainage with the use of different chest tube methods in patients after coronary artery bypass graft (CABG) surgery.DESIGN AND SETTING:Prospective randomized study of 60 patients undergoing elective on-pump single CABG surgery.PATIENTS AND METHODS:The left internal mammary arterial grafts were harvested from all patients. The patients were separated into three groups: In one group (IC6, n=20), pleural tubes were inserted through the sixth interc… Show more

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Cited by 8 publications
(9 citation statements)
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“…However, the patients of SI group presented better pulmonary function and clinical outcomes when compared to II group. This data corroborate with findings by other studies with patients without COPD [ 5 , 11 ] .…”
Section: Discussionsupporting
confidence: 93%
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“…However, the patients of SI group presented better pulmonary function and clinical outcomes when compared to II group. This data corroborate with findings by other studies with patients without COPD [ 5 , 11 ] .…”
Section: Discussionsupporting
confidence: 93%
“…Recent studies have evaluated the postoperative clinical follow-up of patients undergoing CABG, with exteriorization of the drain in the subxyphoid region, and concluded that this strategy minimizes the pulmonary dysfunction in postoperative period, with better spirometric parameters, lower rate of atelectasis and pleural effusion, and lower pain intensity [ 6 , 7 , 11 ] . Furthermore, Guizilini et al [ 19 ] observed that the insertion of a chest tube in the subxyphoid region resulted in similar findings to CABG with intact pleura.…”
Section: Discussionmentioning
confidence: 99%
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“…Evidence shows that a greater degree of pulmonary dysfunction increases the risk of respiratory events during the postoperative period [3][4][5]21]. A recent investigation by Sensoz et al [22] demonstrated that intercostal pleural drains presented the same drainage capacity for pleural effusion as sub-xyphoid drains, but the use of sub-xyphoid pleural drains can reduce the incidence of atelectasis during the CABG postoperative period. In the present study, similar results were found, with greater incidence of atelectasis and pleural effusion in Group II than in group SI.…”
Section: Discussionmentioning
confidence: 99%
“…There is evidence, however, that chest-tube site location does not affect output which allows us to subtract that variable from our results as our analysis did not ascertain location of chest-tubes. 22 As mentioned earlier, historically studies have evaluated postoperative bleeding based either on required transfusions or reoperation for bleeding. Several studies evaluating reoperation for bleeding have had similar results to our findings with a decrease in reoperation in the obese patient population.…”
Section: Discussionmentioning
confidence: 99%