The Society of Thoracic Surgeons Expert Consensus Document on the Management of Pleural Drains After Pulmonary Lobectomy: Expert Consensus Document.

Autor:	Kent MS; Division of Thoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts. Electronic address: mkent@bidmc.harvard.edu., Mitzman B; Division of Cardiothoracic Surgery, University of Utah, Salt Lake City, Utah., Diaz-Gutierrez I; Division of Thoracic Surgery, University of Minnesota, Minneapolis, Minnesota., Khullar OV; Division of Cardiothoracic Surgery, Emory University, Atlanta, Georgia., Fernando HC; Division of Thoracic Surgery, Allegheny General Hospital, Pittsburgh, Pennsylvania., Backhus L; Department of Cardiothoracic Surgery, Stanford University, Stanford, California., Brunelli A; Department of Thoracic Surgery, St James's University Hospital, Leeds, United Kingdom., Cassivi SD; Division of General Thoracic Surgery, Mayo Clinic, Rochester, Minnesota., Cerfolio RJ; Department of Cardiothoracic Surgery, NYU Langone Health, New York, New York., Crabtree TD; Division of Thoracic Surgery, Southern Illinois University, Springfield, Illinois., Kakuturu J; Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, West Virginia., Martin LW; Division of Thoracic Surgery, University of Virginia, Charlottesville, Virginia., Raymond DP; Department of Thoracic and Cardiovascular Surgery, Cleveland Clinic, Cleveland, Ohio., Schumacher L; Division of Thoracic Surgery, Tufts Medical Center, Boston, Massachusetts., Hayanga JWA; Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, West Virginia.
Jazyk:	angličtina
Zdroj:	The Annals of thoracic surgery [Ann Thorac Surg] 2024 May 08. Date of Electronic Publication: 2024 May 08.
DOI:	10.1016/j.athoracsur.2024.04.016
Abstrakt:	The Society of Thoracic Surgeons Workforce on Evidence-Based Surgery provides this document on management of pleural drains after pulmonary lobectomy. The goal of this consensus document is to provide guidance regarding pleural drains in 5 specific areas: (1) choice of drain, including size, type, and number; (2) management, including use of suction vs water seal and criteria for removal; (3) imaging recommendations, including the use of daily and postpull chest roentgenograms; (4) use of digital drainage systems; and (5) management of prolonged air leak. To formulate the consensus statements, a task force of 15 general thoracic surgeons was invited to review the existing literature on this topic. Consensus was obtained using a modified Delphi method consisting of 2 rounds of voting until 75% agreement on the statements was reached. A total of 13 consensus statements are provided to encourage standardization and stimulate additional research in this important area. Competing Interests: Disclosures Michael S. Kent reports a relationship with Intuitive Surgical Inc that includes: consulting or advisory and speaking and lecture fees. Brian Mitzman reports a relationship with Intuitive Surgical Inc that includes: consulting or advisory; and is on the editorial board of The Annals of Thoracic Surgery. Leah Backhus reports a relationship with Genentech Inc that includes: consulting or advisory; with Medtronic that includes: consulting or advisory; with Bristol-Myers Squibb that includes: consulting or advisory; and with AstraZeneca R&D Reims that includes: consulting or advisory. Alessandro Brunelli reports a relationship with AstraZeneca R&D Reims that includes: consulting or advisory; with Bristol-Myers Squibb that includes: consulting or advisory; with Ethicon Inc that includes: consulting or advisory; with Merck Sharp & Dohme UK Ltd that includes: consulting or advisory; with Medtronic that includes: consulting or advisory; and with Roche that includes: consulting or advisory. Stephen D. Cassivi reports a relationship with Drainology that includes: board membership. Linda W. Martin reports a relationship with Ethicon Inc that includes: speaking and lecture fees; with Genentech Inc that includes: speaking and lecture fees; with AstraZeneca Pharmaceuticals LP that includes: board membership; and with On Target Laboratories LLC that includes: consulting or advisory. Lana Schumacher reports a relationship with Intuitive Surgical Inc that includes: consulting or advisory. All other authors declare that they have no conflicts of interest. (Copyright © 2024 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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