Sudden death associated with the use of suction drains – a report of 2 cases following uneventful cranioplasty and literature review. Is the use of suction drains safe?
| Autor: | Andrius Anuzis, Catherine McMahon, Ajay Sinha, Christopher P. Millward, John Anthony Doherty |
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| Rok vydání: | 2021 |
| Předmět: |
Suction (medicine)
medicine.medical_specialty business.industry medicine.medical_treatment General Medicine Sudden death Cranioplasty Surgery 03 medical and health sciences 0302 clinical medicine stomatognathic system 030220 oncology & carcinogenesis Suction drain Medicine Brain swelling Neurology (clinical) Neurosurgery business 030217 neurology & neurosurgery |
| Zdroj: | British Journal of Neurosurgery. :1-6 |
| ISSN: | 1360-046X 0268-8697 |
| DOI: | 10.1080/02688697.2021.1872776 |
| Popis: | The use of drains, including suction drains in neurosurgery is individual preference-based, rather than scientific evidence-based. Furthermore, the use of suction drains has been associated with significant risks to patients, including sudden death.We present 2 cases of unfortunate sudden deaths following uneventful cranioplasty procedures, both of which were associated with the use of a suction drain. We also review the literature focusing on the benefits and risks in the use of suction drains, and discuss pathophysiological mechanisms underlying sudden death associated with their use.There is no substantial evidence to support the use of suction drains in neurosurgery. Furthermore, they have been associated with significant complications, including risk to life. Our experience and literature review suggest that the risk of sudden death is disproportionately higher following cranioplasty. We do not recommend the use of suction drains in cranial neurosurgery, and we strongly recommend against their use in cranioplasty procedures. |
| Databáze: | OpenAIRE |
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