Suites opératoires en chirurgie thoracique

Stern, Jean‐Baptiste; Girard, P.

doi:10.1016/s1155-195x(08)47941-0

Cited by 1 publication

(3 citation statements)

References 72 publications

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“…30 In such cases, pleural symphysis is usually performed in 2 days. 2,30,31 The first chest X-rays were required between days 2 and 4 in search of pneumothorax.…”

Section: Discussionmentioning

confidence: 99%

“…For example, it could avoid to do a bronchoscopy if radiography shows atelectasis while there is no clinical signs. 2,32 Another advantage of performing "on-demand chest Xrays is that they reduce the patient's exposure to radiation. Even if the radiation level is acceptable with daily chest Xrays, it is halved with 33,34 "on-demand chest X-rays," representing 0.106 versus 0.064 mSv, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…1 However, even though chest X-rays may help anticipate postoperative complications, there is no scientific consensus as to their real interest. 2 Indeed, performing chest X-rays on a daily basis represents a significant cost, at a time when physicians, surgeons, and other hospital staff are being asked to simplify their practices to reduce health costs. 3,4 There are only four existing reports in the literature which deal with daily chest X-rays after lung resection.…”

Section: Introductionmentioning

confidence: 99%

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The Interest of Performing “On-Demand Chest X-rays” after Lung Resection by Minimally Invasive Surgery

Haddad

Bubenheim

Bernard

et al. 2017

Thorac cardiovasc Surg

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There is a lack of consensus in hospital centers regarding costly daily routine chest X-rays after lung resection by minimally invasive surgery. Indeed, there is no evidence that performing daily chest X-rays prevents postoperative complications. Our objective was to compare chest X-rays performed on demand when there was clinical suspicion of postoperative complications and chest X-rays performed systematically in daily routine practice. This prospective single-center study compared 55 patients who had on-demand chest X-rays and patients in the literature who had daily routine chest X-rays. Our primary evaluation criterion was length of hospitalization. The length of hospitalization was 5.3 ± 3.3 days for patients who had on-demand X-rays, compared with 4 to 9.7 days for patients who had daily routine X-rays. Time to chest tube removal (4.34 days), overall complication rate (27.2%), reoperation rate (3.6%), and mortality rate (1.8%) were comparable to those in the literature. On average, our patients only had 1.22 ± 1.8 on-demand X-rays, compared with 3.3 X-rays if daily routine protocol had been applied. Patients with complications had more X-rays (3.4 ± 1.8) than patients without complications (0.4 ± 0.7). On-demand chest X-rays do not seem to delay the diagnosis of postoperative complications or increase morbidity-mortality rates. Performing on-demand chest X-rays could not only simplify surgical practice but also have a positive impact on health care expenses. However, a broader randomized study is warranted to validate this work and ultimately lead to national consensus.

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“…30 In such cases, pleural symphysis is usually performed in 2 days. 2,30,31 The first chest X-rays were required between days 2 and 4 in search of pneumothorax.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%