The benefits of digital chest drainage in pleural decortication in thoracic empyema. Prospective, randomised, control trial

Mier, José M.; Cortés-Julián, Gildardo; Berrios-Mejía, Juan; Víctor-Valdivia, Zotés

doi:10.1016/j.circen.2016.11.013

Cited by 2 publications

(2 citation statements)

References 10 publications

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Section: Chest Drain Practicesmentioning

confidence: 99%

“…To date, many of the studies designed to evaluate potential benefits of digital systems have focused on air leak after pulmonary resection leak. 6 The strongest signals for improvement in that setting have so far been for chest tube duration, hospital LOS, and number of clamping trials performed, [47][48][49][50][51][52][53] although other studies have yielded mixed results. 6,53,54 Of course, the major concern in cardiac surgery is not air but blood-both as a sign of hemorrhage and as an indicator for risk of retained-blood complications.…”

Section: Analog Versus Digital Drainage Systemsmentioning

confidence: 99%

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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: Chest Drain Practicesmentioning

confidence: 99%

Section: Analog Versus Digital Drainage Systemsmentioning

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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Promising Effects of Digital Chest Tube Drainage System for Pulmonary Resection: A Systematic Review and Network Meta-Analysis

Chang

Chen

Jhou

et al. 2022

JPM

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Objective: The chest tube drainage system (CTDS) of choice for the pleural cavity after pulmonary resection remains controversial. This systematic review and network meta-analysis (NMA) aimed to assess the length of hospital stay, chest tube placement duration, and prolonged air leak among different types of CTDS. Methods: This systemic review and NMA included 21 randomized controlled trials (3399 patients) in PubMed and Embase until 1 June 2021. We performed a frequentist random effect in our NMA, and a P-score was adopted to determine the best treatment. We assessed the clinical efficacy of different CTDSs (digital/suction/non-suction) using the length of hospital stay, chest tube placement duration, and presence of prolonged air leak. Results: Based on the NMA, digital CTDS was the most beneficial intervention for the length of hospital stay, being 1.4 days less than that of suction CTDS (mean difference (MD): −1.40; 95% confidence interval (CI): −2.20 to −0.60). Digital CTDS also had significantly reduced chest tube placement duration, being 0.68 days less than that of suction CTDSs (MD: −0.68; 95% CI: −1.32 to −0.04). Neither digital nor non-suction CTDS significantly reduced the risk of prolonged air leak. Conclusions: Digital CTDS is associated with better outcomes than suction and non-suction CTDS for patients undergoing pulmonary resections, specifically 0.68 days shorter chest tube duration and 1.4 days shorter hospital stay than suction CTDS.

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The benefits of digital chest drainage in pleural decortication in thoracic empyema. Prospective, randomised, control trial

Cited by 2 publications

References 10 publications

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

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

Promising Effects of Digital Chest Tube Drainage System for Pulmonary Resection: A Systematic Review and Network Meta-Analysis

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