Bubbles-in-the-chamber vs digital screen in chest drainage: A blind analysis of compared postoperative air leaks evaluation.

Autor: Marulli G; Thoracic Surgery Unit, Department of Organ Transplantation and Emergency, University Hospital of Bari, P.zza Giulio Cesare, 11 70124 Bari, Italy. Electronic address: giuseppe.marulli@uniba.it., Brascia D; Thoracic Surgery Unit, Department of Organ Transplantation and Emergency, University Hospital of Bari, P.zza Giulio Cesare, 11 70124 Bari, Italy. Electronic address: deborabrascia@gmail.com., De Iaco G; Thoracic Surgery Unit, Department of Organ Transplantation and Emergency, University Hospital of Bari, P.zza Giulio Cesare, 11 70124 Bari, Italy. Electronic address: g.deiaco24@gmail.com., Comacchio GM; Thoracic Surgery Unit, Department of Cardiologic, Thoracic and Vascular Sciences, University Hospital of Padova, Padova, Italy. Electronic address: gcomacchio@gmail.com., Natale G; Thoracic Surgery Unit, Department of Cardiologic, Thoracic and Vascular Sciences, University Hospital of Padova, Padova, Italy. Electronic address: natale.giu@gmail.com., Nosotti M; Thoracic Surgery and Lung Transplant Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milano, Italy. Electronic address: mario.nosotti@unimi.it., Mendogni P; Thoracic Surgery and Lung Transplant Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milano, Italy. Electronic address: paolo.mendogni@policlinico.mi.it., Pieropan S; Thoracic Surgery and Lung Transplant Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan, Milano, Italy. Electronic address: sarapieropan90@gmail.com., Lopez C; Thoracic Surgery Unit, 'V Fazzi' Hospital, Lecce, Italy. Electronic address: camillolopez@hotmail.com., Di Rienzo G; Thoracic Surgery Unit, 'V Fazzi' Hospital, Lecce, Italy. Electronic address: gaetanodirienzo1@gmail.com., Andriolo LG; Thoracic Surgery Unit, 'V Fazzi' Hospital, Lecce, Italy. Electronic address: andriolo.lui@tiscali.it., Rea F; Thoracic Surgery Unit, Department of Cardiologic, Thoracic and Vascular Sciences, University Hospital of Padova, Padova, Italy. Electronic address: federico.rea@unipd.it.
Jazyk: angličtina
Zdroj: Heart & lung : the journal of critical care [Heart Lung] 2021 Jan - Feb; Vol. 50 (1), pp. 226-230. Date of Electronic Publication: 2020 Jul 20.
DOI: 10.1016/j.hrtlng.2020.06.016
Abstrakt: Background: Chest drainage systems are affected by intra and inter-observer variability and poor sensibility in detecting minimal or apparent air leaks.
Objectives: Overcome intra and inter-observer variability in detecting air leaks.
Methods: After surgery, a single apical chest tube was connected to the Drentech™ PalmEVO device and air leaks were checked twice a day by observation of both bubbles-in-the-chamber and digital data.
Results: On a total of 624 observations, disagreement between digital and traditional systems was recorded in 60(9.6%) cases. In 25(21.4%) patients, a disagreement was recorded. Overall, the digital evaluation influenced clinical management in 13(52%). In 10(40%) patients with temporary discordant features, the presence of high pleural fluid output led to a progressive final concordance.
Conclusions: Disagreement between traditional and digital systems in checking air leaks is not negligible. Digital systems could give advantages in making an objective assessment of air leaks, standardizing the timing of chest tube removal.
Competing Interests: Declaration of Competing Interest None.
(Copyright © 2020 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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