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Journal articles on the topic 'Chest tube drainage'

Author: Grafiati

Published: 2 June 2025

Last updated: 31 July 2025

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1

Csonka, Ákos, Dávid Dózsai, Tamás Ecseri, István Gárgyán, István Csonka, and Endre Varga. "Mellkasi sérültek drenázsadatainak vizsgálata." Orvosi Hetilap 160, no. 5 (2019): 172–78. http://dx.doi.org/10.1556/650.2019.31252.

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Abstract: Introduction: Chest injuries cause a significant number of pneumothorax (PTX) and hemothorax (HTX). The most commonly used treatment is chest-tube drainage. The position of the tube is a prime necessity to achieve adequate drainage. Aim: To analyze the duration of chest drainage at the occurrence of PTX and HTX. To find what the underlying cause of drainage insufficiency is and whether there is any relation between the surgical qualification needed to the procedure. Method: Clinical data of 110 injured patients from 2011 to 2015 were collected and retrospectively analyzed. In the cas

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Lee, Yi-Ying, Po-Kuei Hsu, Chien-Sheng Huang, Yu-Chung Wu, and Han-Shui Hsu. "Complications after Chest Tube Removal and Reinterventions in Patients with Digital Drainage Systems." Journal of Clinical Medicine 8, no. 12 (2019): 2092. http://dx.doi.org/10.3390/jcm8122092.

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Introduction: Digital thoracic drainage systems are a new technology in minimally invasive thoracic surgery. However, the criteria for chest tube removal in digital thoracic drainage systems have never been evaluated. We aim to investigate the incidence and predictive factors of complications and reinterventions after drainage tube removal in patients with a digital drainage system. Method: Patients who received lung resection surgery and had their chest drainage tubes connected with a digital drainage system were retrospectively reviewed. Results: A total of 497 patients were monitored with d

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Shalli, Shanaz, Edward M. Boyle, Diyar Saeed, Kiyotaka Fukamachi, William E. Cohn, and A. Marc Gillinov. "The Active Tube Clearance System a Novel Bedside Chest-Tube Clearance Device." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 5, no. 1 (2010): 42–47. http://dx.doi.org/10.1097/imi.0b013e3181cf7ce3.

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Objective Chest-tube clogging can lead to complications after heart and lung surgery. Surgeons often choose large-diameter chest tubes or place more than one chest tube when concerned about the potential for clogging. The purpose of this report is to describe the design and function of a proprietary active tube clearance system, a novel device that clears clots and debris from chest tubes. Device Description The active tube clearance system is a novel chest tube clearance apparatus developed to maintain chest tube patency. Chest tube clearance is achieved by advancing the specially designed cl

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Toth, Jennifer W., Michael F. Reed, and Lauren K. Ventola. "Chest Tube Drainage Devices." Seminars in Respiratory and Critical Care Medicine 40, no. 03 (2019): 386–93. http://dx.doi.org/10.1055/s-0039-1694769.

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AbstractPlacement of a chest tube drains intrapleural fluid and air. The tube should be attached to a drainage system, such as one-, two-, or three-compartment devices, a one-way (Heimlich) valve for ambulatory drainage, a digital system, or a vacuum bottle. The frequently employed three-compartment systems, currently integrated disposable units, allow adjustment of negative pressure or no suction (water seal), and include an air leak meter on the water seal chamber to be used for demonstrating and quantifying air leak. These readings are subjective and prone to interobserver variability. Digi

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Xu, Hao, Congying Guo, Yi Li, Lei Yang, and Linyou Zhang. "Omitting Chest Tube Drainage after Subxiphoid Thoracoscopic Thymectomy." Thoracic and Cardiovascular Surgeon 68, no. 05 (2019): 446–49. http://dx.doi.org/10.1055/s-0039-1693027.

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Background This study investigated the feasibility and safety of omitting chest tube drainage after subxiphoid thoracoscopic thymectomy. Methods From July 2018 through October 2018, 20 patients underwent subxiphoid thoracoscopic thymectomy without chest tube drainage. The clinical characteristics and perioperative outcomes of these patients are presented. Results All patients (10 males, 10 females; average age: 53.25 ± 12.50 years old) completed the operation. Chest tube drainage was omitted in a total of 20 patients. The operative time was 89.45 ± 49.80 minutes. No adverse events were observe

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Hardin, Jeremy, Aaron Strumwasser, Daniel Grabo, John Kleinman, Kenji Inaba, and Demetrios Demetriades. "Evaluation of Single- versus Dual-Tube Thoracostomy after Thoracotomy for Trauma." American Surgeon 83, no. 10 (2017): 1142–46. http://dx.doi.org/10.1177/000313481708301026.

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Draining the chest cavity with two chest tubes after thoracotomy for trauma is controversial. This article aims to determine whether using two tubes after thoracotomy for trauma is more effective than using a single tube. A 9-year retrospective review (2007–2015) was performed at our academic level I trauma center. All patients who underwent trauma thoracotomy (unilateral and bilateral) were included for analysis (n = 99). Patients with incomplete data, pediatric patients (age < 18), pregnant patients, and early deaths (<24 hours) were excluded. When analyzed by chest cavity, dual tubes

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Tavares, Aline Cristina, and Pedro Nabuco De Araujo. "PRACTICAL ASPECTS ABOUT CLOSED CHEST DRAINAGE CARE: A LITERATURE REVIEW." Revista Pesquisa em Fisioterapia 7, no. 2 (2017): 298–307. http://dx.doi.org/10.17267/2238-2704rpf.v7i2.1280.

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Context: The drained pleural contents may vary, as well as their drainage, however closed drainage system is the most frequent one and reaches flaws along those who are in charge of their management. Objetive: Provide a comprehensive review about close chest drainage. Methods: A systematic search of the PubMed and Medline databases was conducted on closed drainage system using the following keyword combination: chest tubes AND drainage. Results: From eight hundred eight-three articles retrieved after our preliminary search, 17 articles were chosen for final analysis. Representative schemes wer

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Quigley, Robert L. "Thoracentesis and Chest Tube Drainage." Critical Care Clinics 11, no. 1 (1995): 111–26. http://dx.doi.org/10.1016/s0749-0704(18)30088-5.

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9

Ginsberg, Robert J. "Tube Thoracostomy Drainage." Chest 94, no. 6 (1988): 1125–26. http://dx.doi.org/10.1378/chest.94.6.1125b.

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10

Sorino, Claudio, David Feller-Kopman, Federico Mei, et al. "Chest Tubes and Pleural Drainage: History and Current Status in Pleural Disease Management." Journal of Clinical Medicine 13, no. 21 (2024): 6331. http://dx.doi.org/10.3390/jcm13216331.

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Thoracostomy and chest tube placement are key procedures in treating pleural diseases involving the accumulation of fluids (e.g., malignant effusions, serous fluid, pus, or blood) or air (pneumothorax) in the pleural cavity. Initially described by Hippocrates and refined through the centuries, chest drainage achieved a historical milestone in the 19th century with the creation of closed drainage systems to prevent the entry of air into the pleural space and reduce infection risk. The introduction of plastic materials and the Heimlich valve further revolutionized chest tube design and function.

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Elmezayen, Ahmed, Ahmed Osama, Amal Said Elbendary, and Abdelrahman Abdelbar. "Comparison of single and double chest drains following pulmonary lobectomy." PLOS One 20, no. 5 (2025): e0319077. https://doi.org/10.1371/journal.pone.0319077.

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Background Chest tubes are commonly used to empty the chest cavity after pulmonary lobectomy. Although two drains have traditionally been used to guarantee proper air and fluid evacuation, they frequently cause patients more pain and lengthen their hospital stays. This study set out to compare the effectiveness of using a single chest drain versus using two chest drains after a pulmonary lobectomy. Methods This retrospective trial was performed on 50 patients aged ≥18 years, both sexes, scheduled for Video-Assisted Thoracic Surgery (VATS) lobectomy. Patients were divided into two equal groups:

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Gilbert, Timothy B., Brian J. McGrath, and Mark Soberman. "Chest Tubes: Indications, Placement, Management, and Complications." Journal of Intensive Care Medicine 8, no. 2 (1993): 73–86. http://dx.doi.org/10.1177/088506669300800203.

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Use of tube thoracostomy in intensive care units for evacuation of air or fluid from the pleural space has become commonplace. In addition to recognition of pathological states necessitating chest tube insertion, intensivists are frequently involved in placement, maintenance, troubleshooting, and discontinuation of chest tubes. Numerous advances have permitted safe use of tube thoracostomy for treatment of spontaneous or iatrogenic pneumothoracies and hydrothoracies following cardiothoracic surgery or trauma, or for drainage of pus, bile, or chylous effusions. We review current indications for

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Ramanathan, Rajesh, Luke G. Wolfe, and Therese M. Duane. "Initial Suction Evacuation of Traumatic Hemothoraces: A Novel Approach to Decreasing Chest Tube Duration and Complications." American Surgeon 78, no. 8 (2012): 883–87. http://dx.doi.org/10.1177/000313481207800824.

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Between 2 and 4.4 per cent of all patients with trauma chest tubes develop retained hemothoraces. Retained hemothoraces prolong chest tube duration and hospital length of stay, and increase infectious complications like empyema. Early surgical drainage of retained hemothoraces has been shown to decrease complications and reduce hospital length of stay. However, the high resource and expertise requirement may limit the widespread applicability of surgical drainage. We present the results of a relatively simple and novel intervention for traumatic hemothoraces undertaken by our faculty to shorte

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E.I.E., Noura, Furat H.M., and Rasha A.A.E. "Nurses' Knowledge and Practice Regarding Care of Patients Undergoing Chest Tube." African Journal of Health, Nursing and Midwifery 5, no. 3 (2022): 30–49. http://dx.doi.org/10.52589/ajhnm-9wn8dvch.

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Chest tube is a postoperative therapeutic intervention widely applied to the respiratory tract and cardiothoracic care. A chest tube can be a life-saving intervention for patients with pneumothorax, effusion and hem thorax. However, it is associated with significant morbidity and mortality. Aim: To assess nurses’ knowledge and practice regarding care of patients undergoing chest tube. Design: A descriptive exploratory study design was used _Setting: Intensive Care Unit, Surgical and Operational Departments, in El-Mahalla Chest Hospital, and El-Mahalla Cardiac Center. Sample: A convenient sampl

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Walker, Charlotte A., Mary Beth Shirk, Marva M. Tschampel, and James A. Visconti. "Intrapleural Alteplase in a Patient with Complicated Pleural Effusion." Annals of Pharmacotherapy 37, no. 3 (2003): 376–79. http://dx.doi.org/10.1345/aph.1c248.

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OBJECTIVE: To report the intrapleural use of alteplase in a patient diagnosed with complicated pleural effusion (CPE). CASE SUMMARY: A 62-year-old white woman admitted with respiratory distress and hypotension developed a right-sided multi-loculated pleural effusion. Thoracentesis and chest tube drainage were not successful in resolving the effusion. In an attempt to increase the drainage of the pleural effusion, alteplase 16 mg was administered into the pleural cavity via the chest tube on 6 consecutive days. As a result, the volume drained from the patient's chest tube increased, there was i

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Bruno Jose. "Challenging chest drainage: a case report." Revista Colombiana de Cirugía 36, no. 3 (2021): 540–44. http://dx.doi.org/10.30944/20117582.711.

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Introduction. Chest trauma is one of the most common causes of death corresponding to 20 to 25 % of cases. The majority of the patients (85%), can be managed with only a tube thoracostomy. Our objective by presenting this case report is to provide an example of how to manage a challenging chest tube thoracostomy in a patient with cardiac hernia diagnosed in the preoperative phase, based on signs of computed tomography. Case report. A 45-year-old male presented to our emergency department who fell from a light pole 7 meters high. He fell to the ground on his back. Physical examination rev

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Fortune, John B., and Kimberley Tiller. "Continued Development and Testing of a Novel Steerable Chest Tube, Extendable Infusion Cannula, and Portable Suction–Infusion Pump for Use in Austere and Transport Environments to Prevent Retained Hemothorax." Military Medicine 188, Supplement_6 (2023): 466–73. http://dx.doi.org/10.1093/milmed/usad207.

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ABSTRACT With blunt and penetrating trauma to the chest, warfighters frequently suffer from hemothorax. Optimal management requires the placement of a chest tube to evacuate the blood. Malposition of the tube may be a causative factor of inadequate drainage (retained hemothorax). As a potential solution, we developed a previously reported steerable chest tube allowing accurate placement into a desired location to enhance effectiveness. To provide assisted aspiration, we developed a portable, battery-operated suction device capable of simultaneous or sequential infusion. This report details the

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Kesiena, Odion-Obomhense Helen. "Clinical Management of Neonatal Pneumothorax using Improvised Chest Tube and Suction Machine in Delta State University Teaching Hospital, Nigeria." International Journal of Surgery & Surgical Techniques 6, no. 1 (2022): 1–5. http://dx.doi.org/10.23880/ijsst-16000166.

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Neonatal pneumothorax occurs when air leaks into the pleural space. The appropriate size neonatal chest tube with its underwater seal is often not available in many institutions, so we improvise. We present a case report of the clinical management of a two day old male neonate with imperforate anus who had pneumothorax post colostomy creation and our improvised intervention using a size 3 endotracheal tube as our chest tube, 750 ml of water bottle as our underwater seal, and this connected to a suction machine for facilitated drainage of air from the pleural space. This case report is intended

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Nwagboso, Chimaobi Ikechukwu, Chidiebere Peter Echieh, John Nkemakolam Eze, et al. "Predictors of outcome of chest tube drainage of nonpurulent exudative pleural effusions." ERJ Open Research 8, no. 2 (2022): 00604–2021. http://dx.doi.org/10.1183/23120541.00604-2021.

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BackgroundAlthough chest tube drainage is the primary management method for many pleural effusions, it has a failure rate of 9.4–48%. In this study, we examined the factors that predict the outcome of management of nonpurulent exudative effusions. The aim of this study was to determine the predictors of outcomes of chest tube drainage of pleural effusions.MethodologyConsecutive patients who had a chest tube drainage of nonpurulent exudative pleural effusions were followed up in a prospective observational cohort study until extubation and discharge. Data on the management of the patients were

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Dr, Md Ikbal Hassan, Saswata Ghosh Dr., Ajay Agarwalla Dr, and Animesh Mandal Dr. "Clinico-radiological profile and outcome of patients undergoing intercostal tube drainage in a tertiary care hospital in West Bengal, India." Clinico-radiological profile and outcome of patients undergoing intercostal tube drainage in a tertiary care hospital in West Bengal, India 7, no. 6 (2019): 504–10. https://doi.org/10.17511/ijmrr.2019.i06.10.

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Introduction: Evacuation of empyema which was first performed centuries ago, marked the beginning of thoracic drainage. The subsequent acquisition of a greater knowledge of the anatomy, physiology, and pathology of the pleural space directed the design of thoracic catheters and drainage systems and the development of the methods by which they are used. Thoracic drainage systems are designed to remove air and liquids from the pleural space or mediastinum, which collect there as a result of injury, disease, or surgical procedures. Method: A total of 100 patients who underwent intercostal tube dr

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Naito, Machiko, and Kazuhiko Shinohara. "Study on Chest Drainage Tube Fixation." Japanese journal of ergonomics 41, Supplement (2005): 98–99. http://dx.doi.org/10.5100/jje.41.supplement_98.

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Alfson, Leann, Nancy Rakow, Dale Nelson, Linda Shecterle, and J. A. St.Cyr. "Chest Tube Drainage Circuitry in Mammals." Veterinary Surgery 34, no. 5 (2005): 537. http://dx.doi.org/10.1111/j.1551-2916.2005.00075.x-i1.

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Alfson, Leann, Nancy Rakow, Dale Nelson, Linda Shecterle, and J. A. St.Cyr. "Chest Tube Drainage Circuitry in Mammals." Veterinary Surgery 34, no. 5 (2005): 537. http://dx.doi.org/10.1111/j.1551-2916.2005.00083.x.

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Aylwin, Christopher J., Karim Brohi, Gareth D. Davies, and Michael S. Walsh. "Pre-Hospital and In-Hospital Thoracostomy: Indications and Complications." Annals of The Royal College of Surgeons of England 90, no. 1 (2008): 54–57. http://dx.doi.org/10.1308/003588408x242286.

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INTRODUCTION Pleural drainage with chest tube insertion for thoracic trauma is a common and often life-saving technique. Although considered a simple procedure, complication rates have been reported to be 2–25%. We conducted a prospective cohort observational study of emergency pleural drainage procedures to validate the indications for pre-hospital thoracostomy and to identify complications from both pre- and in-hospital thoracostomies. PATIENTS AND METHODS Data were collected over a 7-month period on all patients receiving either pre-hospital thoracostomy or emergency department tube thoraco

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Porntepkasemson, Apirudee, and Sarayut Lucien Geater. "Comparison of pain and efficacy between large-bore and small-bore chest tube drainage for malignant pleural effusion in Songklanagarind Hospital: A randomized controlled trial." Journal of Clinical Oncology 30, no. 15_suppl (2012): e19608-e19608. http://dx.doi.org/10.1200/jco.2012.30.15_suppl.e19608.

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e19608 Background: Malignant pleural effusion is one of the most common presenting symptoms in lung cancer. There has been no large RCT comparing large-bore and small-bore chest tubes in terms of pain and efficacy of management. Methods: A randomized controlled trial was conducted in 2011. Patients with malignant pleural effusion were randomly allocated to receive either a large-bore or small-bore chest tube. The primary objective was to compare pain using the Numeric Rating Scale. Other objectives included the efficacy of the drainage and pleurodesis and any complications were recorded. Resul

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Junaidi, Katerine, Oea Khairsyaf, Fenty Anggrainy, and Deddy Herman. "One-Way Valve as Management of Chest Tube Ambulation in Pneumothorax Cases." Bioscientia Medicina : Journal of Biomedicine and Translational Research 8, no. 2 (2023): 3940–47. http://dx.doi.org/10.37275/bsm.v8i2.915.

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An adequate chest drainage system is the main goal of fluid and air evacuation and restoring negative pressure intrapleural so it can help lung development. The intrapleural is a closed, airtight space filled with a small amount of fluid as a lubricant for lung movement during the breathing process. Accumulation of intrapleural air is known as pneumothorax, and one of the initial management options is the implantation chest tube. Chest tubes, which are connected to a water seal, conventionally show varying results and have shortcomings because they require monitoring and limit patient mobility

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Cantin, Luce, Carl Chartrand-Lefebvre, Luigi Lepanto, et al. "Chest Tube Drainage Under Radiological Guidance for Pleural Effusion and Pneumothorax in a Tertiary Care University Teaching Hospital: Review of 51 Cases." Canadian Respiratory Journal 12, no. 1 (2005): 29–33. http://dx.doi.org/10.1155/2005/498709.

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BACKGROUND: Chest tube drainage under radiological guidance has been used with increasing frequency as a treatment option for pleural effusions and pneumothoraxes.OBJECTIVE: To evaluate the safety and usefulness of pleural drainage under radiological guidance for pleural effusion and pneumothorax in a tertiary care university teaching hospital.METHODS: A retrospective study of cases of chest tube placement under radiological guidance over a 12-month period in a university hospital.RESULTS: Fifty-one percutaneous pigtail catheter drainage cases were reviewed (30 patients). Forty-six (90%) chest

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Varela, Gonzalo, Marcelo F. Jiménez, and Nuria Novoa. "Portable Chest Drainage Systems and Outpatient Chest Tube Management." Thoracic Surgery Clinics 20, no. 3 (2010): 421–26. http://dx.doi.org/10.1016/j.thorsurg.2010.03.006.

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Shahi, Rejina, Augraj Uprety, Prakash Aryal, et al. "Assessment of Post-Procedure Complications Following Chest Tube Drainage in Pleural Effusion Patients: An Observational Retrospective Study." Journal of BP Koirala Institute of Health Sciences 7, no. 2 (2024): 4–9. https://doi.org/10.3126/jbpkihs.v7i2.68882.

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Background: Pleural effusion is common in routine medical practice due to various underlying diseases. Chest tube drainage is a common therapeutic intervention for managing pleural effusion. Despite being an effective procedure, it carries the risk of multiple complications, which can significantly impact patient outcomes. This study aims to determine the incidence and different types of post-procedure complications following chest tube drainage in patients with pleural effusion. Methods: We conducted an observational retrospective study at the department of Pulmonary, Critical Care and Sleep

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Ahmed, Anis, Yasmeen Iqbal, Sidra Akbar, and Mahnoor Ahmed. "Optimum Timing of Video Assisted Thoracoscopic Surgery in Acute Chest Injury." Pakistan Armed Forces Medical Journal 72, no. 6 (2023): 2155–60. http://dx.doi.org/10.51253/pafmj.v72i6.9760.

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Objective: To compare the length of hospital stay, duration of chest tube drainage use, conversion to open thoracotomy and post-injury chest infections between the Early VATS and Late VATS groups. Study Design: Cross-sectional comparative study. Place and Duration of Study: Department of surgery Benazir Bhutto Hospital, Rawalpindi Pakistan, from Oct 2020 till Sep 2022. Methodology: Sixty-two patients undergoing VATs for acute chest injury were divided into two groups; early VATs within first 5 days of chest injury and late VATs after 5th day of chest injury. Outcome variables

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Gordon, PA, JM Norton, JM Guerra, and ST Perdue. "Positioning of chest tubes: effects on pressure and drainage." American Journal of Critical Care 6, no. 1 (1997): 33–38. http://dx.doi.org/10.4037/ajcc1997.6.1.33.

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BACKGROUND: Maintaining a chest drainage tube in a position that is free of dependent loops, as is commonly recommended, can be very difficult. Is there a beneficial effect on the patient's outcome when the drainage tubing is free of dependent loops? OBJECTIVE: The purpose of this study was to determine, under controlled laboratory conditions, (1) what are the differences in drainage with tubing in straight, coiled, or dependent-loop (with and without periodic lifting) positions and (2) what are the differences in pressure with each of the four tubing conditions? METHODS: In laboratory simulat

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Bao, Feichao, Natasha Toleska Dimitrovska, Shoujun Hu, Xiao Chu, and Wentao Li. "Safety of early discharge with a chest tube after pulmonary segmentectomy." European Journal of Cardio-Thoracic Surgery 58, no. 3 (2020): 613–18. http://dx.doi.org/10.1093/ejcts/ezaa097.

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Abstract OBJECTIVES Early removal of chest tube is an important step in enhanced recovery after surgery protocols. However, after pulmonary resection with a wide dissection plane, such as pulmonary segmentectomy, prolonged air leak, a large volume of pleural drainage and the risk of developing empyema in patients can delay chest tube removal and result in a low rate of completion of the enhanced recovery after surgery protocol. In this study, we aimed to assess the safety of discharging patients with a chest tube after pulmonary segmentectomy. METHODS We retrospectively reviewed a single surge

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Kruse, Tamara, Sharon Wahl, Patricia Finch Guthrie, and Sue Sendelbach. "Place Atrium to Water Seal (PAWS): Assessing Wall Suction Versus No Suction for Chest Tubes After Open Heart Surgery." Critical Care Nurse 37, no. 4 (2017): 17–28. http://dx.doi.org/10.4037/ccn2017269.

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BACKGROUND Traditionally chest tubes are set to −20 cm H2O wall suctioning until removal to facilitate drainage of blood, fluid, and air from the pleural or mediastinal space in patients after open heart surgery. However, no clear evidence supports using wall suction in these patients. Some studies in patients after pulmonary surgery indicate that using chest tubes with a water seal is safer, because this practice decreases duration of chest tube placement and eliminates air leaks. OBJECTIVE To show that changing chest tubes to a water seal after 12 hours of wall suction (intervention) is a sa

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Dong, Yingxian, Shujun Li, and Guowei Che. "Is it safe and feasible to use multi-lateral-pores drainage strategy after video-assisted thoracoscopic surgery?" PLOS ONE 19, no. 11 (2024): e0313176. http://dx.doi.org/10.1371/journal.pone.0313176.

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Objectives Evidence-based studies optimizing chest tube management have been conducted to accelerate the recovery process for lung cancer patients after video-assisted thoracoscopic surgery (VATS). This study is to evaluate whether using the multi-lateral pores chest tube can achieve better drainage performance than conventional-lateral-pore drainage. Methods Data from patients undergoing VATS were consecutively collected from September 2023 to June 2024. The groups were randomized into two subgroups, which were multi-lateral-pores drainage group (MDG) and conventional-lateral-pore drainage gr

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Embalabala, Alison, Brian Mitzman, and Traves Crabtree. "Digital pleural versus analog drainage devices for postoperative management of patients after pulmonary resection." European Journal of Cardio-Thoracic Surgery 67, Supplement_1 (2025): i31—i40. https://doi.org/10.1093/ejcts/ezae215.

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Abstract OBJECTIVES This work was designed to identify and summarize the current comparative data between digital pleural drainage devices and traditional analog pleural drainage devices in patients undergoing pulmonary resection. Outcomes of interest were hospital length of stay (LOS), chest tube duration, healthcare costs, incidence of prolonged air leak and patient and healthcare personnel satisfaction. METHODS The PubMed and Web of Science databases were searched for randomized controlled trials (RCTs) and meta-analyses comparing outcomes between the use of digital and analog chest tube dr

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Bassi, Massimiliano, Emilia Mottola, Sara Mantovani, et al. "Coaxial Drainage versus Standard Chest Tube after Pulmonary Lobectomy: A Randomized Controlled Study." Current Oncology 29, no. 7 (2022): 4455–63. http://dx.doi.org/10.3390/curroncol29070354.

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Chest tubes are routinely inserted after thoracic surgery procedures in different sizes and numbers. The aim of this study is to assess the efficacy of Smart Drain Coaxial drainage compared with two standard chest tubes in patients undergoing thoracotomy for pulmonary lobectomy. Ninety-eight patients (57 males and 41 females, mean age 68.3 ± 7.4 years) with lung cancer undergoing open pulmonary lobectomy were randomized in two groups: 50 received one upper 28-Fr and one lower 32-Fr standard chest tube (ST group) and 48 received one 28-Fr Smart Drain Coaxial tube (SDC group). Hospitalization, q

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Macey, Barbara A., and Linda L. Landstrom. "Replacing a Chest-Tube Drainage-Collection Device." AJN, American Journal of Nursing 93, no. 3 (1993): 95–96. http://dx.doi.org/10.1097/00000446-199303000-00028.

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Shiose, Akira, Tohru Takaseya, Hideyuki Fumoto, et al. "Improved drainage with active chest tube clearance☆☆☆." Interactive CardioVascular and Thoracic Surgery 10, no. 5 (2010): 685–88. http://dx.doi.org/10.1510/icvts.2009.229393.

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Jones, Peter M., Robert D. Hewer, Hugh D. Wolfenden, and Paul S. Thomas. "Subcutaneous emphysema associated with chest tube drainage." Respirology 6, no. 2 (2001): 87–89. http://dx.doi.org/10.1046/j.1440-1843.2001.00317.x.

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Durai, Rajaraman, Happy Hoque, and Tony W. Davies. "Managing a Chest Tube and Drainage System." AORN Journal 91, no. 2 (2010): 275–83. http://dx.doi.org/10.1016/j.aorn.2009.09.026.

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Hakozaki, Takahiro, Takayuki Hasegawa, and Satoki Inoue. "The effects of chest drainage on volume-controlled ventilation." Journal of Research in Clinical Medicine 13 (February 10, 2025): 34515. https://doi.org/10.34172/jrcm.025.34515.

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Introduction: Chest drainage generates negative pressure, which might affect the transpulmonary pressure (TPP). We investigated whether chest drainage affects ventilating conditions during volume-controlled ventilation (VCV) using a thoracic and lung model, and what such an effect would be. Methods: VCV was started with a 250 ml of tidal volume (TV). Plateau pressures (Plat-Ps) were measured using no positive end-expiratory pressure (PEEP) and no chest drainage (baseline), followed by 10 and 20 cmH2 O PEEP/no drainage, 0, 10, and 20 cmH2 O PEEP/drainage with -10 cmH2 O, or 0, 10, and 20 cmH2 O

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Antanavicius, G., J. Lamb, P. Papasavas, and P. Caushaj. "Initial Chest Tube Management after Pulmonary Resection." American Surgeon 71, no. 5 (2005): 416–19. http://dx.doi.org/10.1177/000313480507100510.

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Tube thoracostomy management with suction or water seal after anatomical pulmonary resection remains somewhat controversial. Initial chest tube management may influence the duration of pleural fluid drainage, duration of tube thoracostomy, and/or hospital length of stay following pulmonary resection. We hypothesized that initial chest tube management with water seal decreases time for chest tube removal and decreases time of hospital stay. A retrospective chart review was performed on 109 consecutive patients who underwent lobectomy or segmentectomy in Western Pennsylvania Hospital between Dec

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Majumdar, Md Neazul Islam, AKM Razzaque, Md Shahinur Rahman, Anwarul Anam Kibria, Rokshana Rahman, and SM Shahadat Hossain. "Role of Continuous Low Pressure Suction in Management of Traumatic Haemothorax and/or Haemopneumothorax: Experiences at NIDCH and CMH Dhaka." Journal of Armed Forces Medical College, Bangladesh 10, no. 2 (2015): 21–26. http://dx.doi.org/10.3329/jafmc.v10i2.25917.

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Introduction: The number of chest trauma patients has rapidly increased in this 21st century of high speed travel, violence, natural and manmade disasters. Most of the patients present with haemothorax and/or haemopneumothorax. Drainage of haemothorax and/or haemopnumothorax by tube thoracostomy is the main stay of treatment. Even timely insertion of chest tube sometimes fails to drain haemothorax adequately and results in clotted haemothorax for which surgical management is needed. Application of continuous low pressure suction through chest tube hastens evacuation of blood and reduces incide

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Xu, Shi, Shanshan Xu, and Fuman Cai. "Application of Grooved Negative Pressure Drainage Tube in Surgical Stabilization of Rib Fractures." Journal of Clinical and Nursing Research 8, no. 9 (2024): 208–16. http://dx.doi.org/10.26689/jcnr.v8i9.8239.

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Objective: To explore the application value of disposable grooved negative pressure drainage tubes in rib fracture incision and internal fixation. Methods: Seventy-five patients admitted to our Department of Trauma Surgery from June 2022 to April 2024 who underwent rib fracture osteotomy and internal fixation were selected. According to the types of drainage tubes left in the patients after the operation, they were divided into the observation group (35 cases who were left with disposable grooved negative pressure drainage tubes) and the control group (40 cases who were left with closed silico

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Perrault, Louis P., Michel Pellerin, Michel Carrier, et al. "The PleuraFlow Active Chest Tube Clearance System: Initial Clinical Experience in Adult Cardiac Surgery." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 7, no. 5 (2012): 354–58. http://dx.doi.org/10.1097/imi.0b013e31827e2b4d.

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Objective To address the clinical consequences related to chest tube clogging, a novel chest drainage apparatus, the PleuraFlow Active Tube Clearance System (Clear Catheter Systems, Bend, OR), was developed. The aim of this world's first clinical experience study was to follow clinicians using the PleuraFlow system to assess usability issues and potential areas of improvement in the heart surgery setting. Methods A user preference study was conducted to assess how specified users (surgeons, nurses, and intensive care physicians) used the PleuraFlow system to achieve specified goals in an effic

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Takeyama, Ryo, Yoshikane Yamauchi, Shinya Kohmaru, et al. "Temporal Patterns of Air Leak Resolution in Secondary Spontaneous Pneumothorax: A Hazard Function Analysis for Optimal Intervention Timing." Journal of Clinical Medicine 14, no. 11 (2025): 4003. https://doi.org/10.3390/jcm14114003.

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Objectives: This study was aimed to identify risk factors for persistent air leak after chest tube placement for secondary spontaneous pneumothorax and to determine the optimal timing of treatment. Methods: We retrospectively analyzed 221 cases of secondary spontaneous pneumothorax in patients aged ≥50 years who were treated with chest tube drainage. Patients were categorized into the observation group or additionally treated group based on whether they received interventional treatment beyond chest tube drainage. Air leak resolution patterns were analyzed using hazard function analysis. Risk

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Jijeh, Abdulraouf M. Z., Ghassan A. Shaath, Sameh R. Ismail, et al. "Optimizing Recovery: Early Versus Delayed Chest Tube Removal in Pediatric Cardiac Surgery Patients: A Randomized Controlled Trial." Critical Care Explorations 7, no. 6 (2025): e1271. https://doi.org/10.1097/cce.0000000000001271.

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OBJECTIVES: To evaluate the safety and efficacy of an early chest tube removal protocol in reducing tube duration without increasing complications following pediatric cardiac surgery. DESIGN: A single-center, randomized controlled trial. SETTING: Pediatric cardiac ICU. PATIENTS: Two hundred fifteen pediatric patients with chest tubes after cardiac surgery. INTERVENTIONS: Patients were randomized to early removal (drainage threshold < 6 mL/kg over 8 hr) or late removal (24-hr assessment) groups. Primary outcomes included chest tube duration, whereas secondary outcomes encompassed ICU stay, v

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Ahmed, Sabah Abbas, Ali Hussein A. Al-Ganmi, and Suad Jassim. "Evaluation of the nursing management for patients undergoing to water seal chest tube drainage system." Kufa Journal for Nursing Sciences 5, no. 2 (2015): 226–33. http://dx.doi.org/10.36321/kjns.vi20152.2581.

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Objective(s): The study objectives are to identify the nursing management provided to patients undergoing to water- seal chest tube drainage system.. Methodology: A descriptive study which was using the quantitative design. The study was conducted in Alhariri, Alyarmouk, and Alkindy teaching hospitals starting in October 10th 2012 up to the September 30th 2013. To achieve the objectives of the study, A non-probability (purposive) samples of (50) nurses delete was consisted of all nurses who provides management for patients under-water-seal chest tube drainage systems. The questionnaire tool wa

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Klugman, D., MT Donofrio, D. Zurakowski, and RA Jonas. "Postoperative complications following the Fontan procedure: the role of aprotinin." Perfusion 26, no. 6 (2011): 529–35. http://dx.doi.org/10.1177/0267659111416877.

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Objective: To determine how the anti-inflammatory properties of aprotinin impact on postoperative complications in children undergoing the Fontan procedure. Methods: We included all patients between 14 months and 18 years (n=56) undergoing a Fontan operation at our institution between January 2005 and June 2009. The study group (n=29) included patients from January 2005 through December 2007 all of whom received aprotinin. The control group (n=27) included all patients from January 2008 through June 2009 who did not receive aprotinin. We reviewed all medical records and collected preoperative,

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Willim, Herick Alvenus, Eva Lydia Munthe, Yoni Vanto, and Alvin Ariyanto Sani. "Risk factors for re-expansion pulmonary edema following chest tube drainage in patients with spontaneous pneumothorax: A systematic review and meta-analysis." Journal of Cardiovascular and Thoracic Research 16, no. 1 (2024): 1–7. http://dx.doi.org/10.34172/jcvtr.32871.

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Re-expansion pulmonary edema (RPE) is a rare but potentially life-threatening complication that can occur after rapid lung expansion following the management of lung collapse. This meta-analysis aimed to investigate the risk factors for RPE following chest tube drainage in patients with spontaneous pneumothorax. We conducted a comprehensive systematic literature search in electronic databases of PubMed, ScienceDirect, Cochrane Library, and ProQuest to identify studies that explore the risk factors for RPE following chest tube drainage in spontaneous pneumothorax. Pooled odds ratios (OR) or wei

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