» Articles » PMID: 10646026

A Regional Survey of Chest Drains: Evidence-based Practice?

Overview
Journal Postgrad Med J
Specialty General Medicine
Date 2000 Jan 26
PMID 10646026
Citations 3
Authors
Affiliations
Soon will be listed here.
Abstract

Although the use of chest drains is common in medicine, there appear to be wide variations in practice. A survey was therefore conducted to establish the current status of chest drain management in the Northwest region. A questionnaire targeted consultants practising in the specialties of chest medicine, general surgery, accident & emergency and cardiothoracic surgery. The questionnaire consisted of five sections encompassing aspects of the insertion, day-to-day care and removal of chest drains. With an overall response rate of 75.3% (110/146), important variations in every major aspect of the practice of chest drains were found between the specialties and to a large extent within each specialty. We have made a number of recommendations which aim to encourage good practice and reduce unnecessary complications, including the adoption of standardised protocols for inserting and managing chest drains.

Citing Articles

Outcomes of chest drain management using only air leak (without fluid) criteria for removal after general thoracic surgery-a drainology study.

Abdul Khader A, Pons A, Palmares A, Booth S, Smith A, Proli C J Thorac Dis. 2023; 15(7):3776-3782.

PMID: 37559627 PMC: 10407534. DOI: 10.21037/jtd-22-1810.


Determining optimal fluid and air leak cut off values for chest drain management in general thoracic surgery.

Mesa-Guzman M, Periklis P, Niwaz Z, Socci L, Raubenheimer H, Adams B J Thorac Dis. 2015; 7(11):2053-7.

PMID: 26716045 PMC: 4669298. DOI: 10.3978/j.issn.2072-1439.2015.11.42.


Results of thoracic drainages placed in air rescue.

Schupfner R, Wagner W, Schneller A Interv Med Appl Sci. 2014; 5(4):168-74.

PMID: 24381735 PMC: 3873595. DOI: 10.1556/IMAS.5.2013.4.4.

References
1.
Koutras P, Kwon Y, HOLLAND R, Webb W . An unusual cause of perforation of the aorta. Ann Thorac Surg. 1969; 8(6):575-9. DOI: 10.1016/s0003-4975(10)66097-3. View

2.
Roe B . Physiologic principles of drainage of the pleural space. Am J Surg. 1958; 96(2):246-53. DOI: 10.1016/0002-9610(58)90909-7. View

3.
Stahly T, Tench W . Lung entrapment and infarction by chest tube suction. Radiology. 1977; 122(2):307-9. DOI: 10.1148/122.2.307. View

4.
Moessinger A, Driscoll Jr J, WIGGER H . High incidence of lung perforation by chest tube in neonatal pneumothorax. J Pediatr. 1978; 92(4):635-7. DOI: 10.1016/s0022-3476(78)80311-4. View

5.
Eriksson A . Fatal latrogenic exsanguination from pleural drain insertion into the inferior cava. Thorac Cardiovasc Surg. 1982; 30(3):191-3. DOI: 10.1055/s-2007-1022243. View