Is routine chest radiograph necessary after chest tube removal?

Cunningham, Janine Pettiford; Knott, E. Marty; Gasior, Alessandra C.; Juang, David; Snyder, Charles L.; Peter, Shawn D. St.; Ostlie, Daniel J.

doi:10.1016/j.jpedsurg.2014.01.004

Cited by 28 publications

(29 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Overall, 95 per cent of the patients in the study did not require replacement of a CT, which fits with replacement data from other groups. 9 A total of 20 per cent of the total patients had a CXR that demonstrated a PTX after transition from suction to WS, which is consistent with Schulman et al 3 findings of 26 per cent of patients having PTX on CXR after transition to WS. The CXRs in this study are typically single-view anterior-posterior CXRs obtained on the floor, with findings of small apical PTX that are not always seen by the treating physician even after identification by a radiologist.…”

Section: Discussionsupporting

confidence: 79%

Chest Tube Removal in Simple Pneumothorax: Does Water-Seal Duration Matter?

Bridges

Torrent

Mosquera

et al. 2017

The American Surgeon

View full text Add to dashboard Cite

Timing of chest tube (CT) removal after transition from suction to water-seal (WS) varies when treating traumatic simple pneumothoraces (PTXs). Longer periods of WS may identify slow-occurring PTXs reducing CT replacement, whereas shorter periods may expedite patient disposition and have associated cost savings. Prior studies support the need for an interval of WS. We compare durations of WS, looking at rates of CT reinsertion. A 10-year retrospective review on trauma patients with a simple PTX requiring a CT was performed. WS duration of 1 to 8 hours (short - SG) versus 18 to 36 hours (long - LG) were compared. Univariate analysis and multivariate logistic regression were used. Of the 2000 patient charts reviewed, 209 met the criteria, with 43 in the SG and 166 in the LG. Patient demographics and mechanism of injury were similar. There was no difference in CT replacement [6.9% (SG) vs 4.8% (LG), P 0.59]. Logistic regression revealed an increase in CT replacement if the patient ever had positive pressure ventilation (OR 4.1, CI 1.1–17, P 0.04) and if returned to suction from WS (OR 6.3, CI 1.2–28, P 0.03). Short intervals of WS do not increase CT reinsertion while decreasing the total time and morbidity associated with CT.

show abstract

Section: Discussionsupporting

confidence: 79%

Chest Tube Removal in Simple Pneumothorax: Does Water-Seal Duration Matter?

Bridges

Torrent

Mosquera

et al. 2017

The American Surgeon

View full text Add to dashboard Cite

show abstract

“…Yet, the role of routine repetitive CXRs after certain procedures has recently come into question. [11][12][13][14][15] Recent evidence suggests that routine immediate postoperative CXR after MIRPE and after Nuss bar removal may not be necessary. 9,16,17 The objective of this study was to evaluate the necessity of repeat imaging after an initial CXR following MIRPE and its impact on clinical outcomes.…”

Section: Introductionmentioning

confidence: 99%

Repetitive Imaging following Minimally Invasive Repair of Pectus Excavatum Is Unnecessary

Sola

Friske

et al. 2018

Eur J Pediatr Surg

View full text Add to dashboard Cite

show abstract

“…A number of studies have examined post chest drain removal CXRs after thoracic surgery and have come to similar conclusions. 2,[4][5][6][7][8] Two of these studies were in paediatric populations where unnecessary irradiation will be seen as potentially more harmful and more important to forgo. [2][3][4][5] In thoracic surgery chest drains are required to detect ongoing air leaks following pulmonary resections.…”

Section: Discussionmentioning

confidence: 99%

Are routine post drain removal chest x-rays necessary after oesophagectomy?

Aboul‐Enein

Knight²,

Foley

et al. 2020

Int Surg J

View full text Add to dashboard Cite

Background: Routine chest X-rays (CXR) are often performed following the removal of chest drains placed during oesophagectomy. CXRs are costly and inconvenient for the patient, often being performed out of working hours. The aim of this study was to evaluate whether routine CXR is necessary following drain removal or if CXRs should only be performed when indicated by the clinical status of the patient.Methods: This was a retrospective study of oesophagectomies performed at a single high volume centre. Routine post chest drain removal CXRs were analyzed and compared to baseline post-operative CXRs. The clinical status of the patient before and after chest drain removal was recorded.Results: 188 patients were identified. 111/188 (59%) had a pleural effusion or pneumothorax on their baseline post-operative CXR. Abnormal findings on post drain removal CXR were common with 72/188 (38.3%) patients having a new or worse pleural effusion or pneumothorax. Only, 5.6% (11/188) of these patients actually developed clinical signs after chest drain removal. Of these, only 2.1% (4/188) required chest drain re-insertion. No patients underwent intervention without showing clinical deterioration. No re-intervention was prompted by CXR finding alone.Conclusions: Routine CXR following chest drain removal is unnecessary. It is safe to only perform CXRs on patients who develop clinical signs.

show abstract

Is routine chest radiograph necessary after chest tube removal?

Cited by 28 publications

References 10 publications

Chest Tube Removal in Simple Pneumothorax: Does Water-Seal Duration Matter?

Chest Tube Removal in Simple Pneumothorax: Does Water-Seal Duration Matter?

Repetitive Imaging following Minimally Invasive Repair of Pectus Excavatum Is Unnecessary

Are routine post drain removal chest x-rays necessary after oesophagectomy?

Contact Info

Product

Resources

About