Influence of Pleural Drain Insertion in Lung Function of Patients Undergoing Coronary Artery Bypass Grafting

Abstract

Drain with insertion in the subxiphoid region causes less change in lung function and discomfort, allowing better recovery of respiratory parameters.

Left lateral intercostal region versus subxiphoid position for pleural drain during elective coronary artery bypass graft surgery: randomized clinical trial

“…Unlike other studies that correlated drain insertion in the subxiphoid position with lower intensities of pain and dyspnea, 14 , 15 , 16 , 18 we did not observe any differences between the groups regarding the subjectively assessed degrees of dyspnea and pain. The shorter time for which the pleural drain was used in the lateral group may have influenced these results.…”

“…Studies on individuals undergoing CABG surgery have shown that insertion of the pleural drain in the subxiphoid position can minimize the chance of trauma to the thoracic wall, may preserve respiratory function in the immediate postoperative period and may lead to lower levels of subjective pain, compared with lateral intercostal insertion. 14 , 15 , 16 , 17 , 18 , 19 , 20 However, most of these studies were conducted among patients undergoing CABG surgery without extracorporeal circulation (ECC), 15 , 16 , 17 , 20 , 21 without prior pulmonary disease, 14 , 15 , 16 , 18 , 19 and with use of spirometry rather than manovacuometry to evaluate respiratory muscle strength. 14 , 15 , 18 , 19 , 20 …”

“… 14 , 15 , 16 , 17 , 18 , 19 , 20 However, most of these studies were conducted among patients undergoing CABG surgery without extracorporeal circulation (ECC), 15 , 16 , 17 , 20 , 21 without prior pulmonary disease, 14 , 15 , 16 , 18 , 19 and with use of spirometry rather than manovacuometry to evaluate respiratory muscle strength. 14 , 15 , 18 , 19 , 20 …”