Digital Thoracic Drainage System: A New Tool For Pediatric Thoracic Surgery

Detalhes bibliográficos
Autor(a) principal: Vasconcelos-Castro, Sofia
Data de Publicação: 2023
Outros Autores: Borges-Dias, Mariana, Soares-Oliveira, Miguel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://doi.org/10.48729/pjctvs.213
Resumo: Introduction: Digital thoracic drainage systems usage in pediatrics is underreported, making current recommen- dations based on those for adults. We aim to review our experience on the use of this digital system and to evaluate the adequacy of those recommendations. Methods: Retrospective analysis of patients in whom digital thoracic drainage system was used. All patients were submitted to thoracoscopic bleb/apical lung resection for primary spontaneous pneumothorax. Initially patients were man- aged using the few existing recommendations for children, but after 2 unsuccessful cases we changed our approach into tube clamping after continuous air leak < 5mL/min for at least 24 hours. Results: Seventeen procedures (median 17.2-years) were performed; there were no intraoperative complications. After changing the air leak target, 11 procedures were consecutively managed without complications; the median number of chest radiographs per procedure was 3.0 and the median number of days with chest tube was 4.0 days. Conclusions: This is the first report on the usage of this system in children in Portugal. This system constitutes an important technological innovation, but it needs more data gathering and prospective trials in order to maximize its use in children. The authors suggest an algorithm for the management of thoracic digital drainage in children: removal of chest tubes when the air leak is <5mL/min for 24 hours and to perform chest tube clamping for a minimum of 6 hours before removal.
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spelling Digital Thoracic Drainage System: A New Tool For Pediatric Thoracic Surgerypediatricsdigital thoracic drainagethoracic surgical procedurepneumothoraxair leakIntroduction: Digital thoracic drainage systems usage in pediatrics is underreported, making current recommen- dations based on those for adults. We aim to review our experience on the use of this digital system and to evaluate the adequacy of those recommendations. Methods: Retrospective analysis of patients in whom digital thoracic drainage system was used. All patients were submitted to thoracoscopic bleb/apical lung resection for primary spontaneous pneumothorax. Initially patients were man- aged using the few existing recommendations for children, but after 2 unsuccessful cases we changed our approach into tube clamping after continuous air leak < 5mL/min for at least 24 hours. Results: Seventeen procedures (median 17.2-years) were performed; there were no intraoperative complications. After changing the air leak target, 11 procedures were consecutively managed without complications; the median number of chest radiographs per procedure was 3.0 and the median number of days with chest tube was 4.0 days. Conclusions: This is the first report on the usage of this system in children in Portugal. This system constitutes an important technological innovation, but it needs more data gathering and prospective trials in order to maximize its use in children. The authors suggest an algorithm for the management of thoracic digital drainage in children: removal of chest tubes when the air leak is <5mL/min for 24 hours and to perform chest tube clamping for a minimum of 6 hours before removal.SOCIEDADE PORTUGUESA DE CIRURGIA CARDIO-TORÁCICA E VASCULAR2023-01-14info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.48729/pjctvs.213https://doi.org/10.48729/pjctvs.213Portuguese Journal of Cardiac Thoracic and Vascular Surgery; Vol. 29 No. 4 (2022): Oct - Dec; 21-252184-9927reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://pjctvs.com/index.php/journal/article/view/213https://pjctvs.com/index.php/journal/article/view/213/278Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgeryinfo:eu-repo/semantics/openAccessVasconcelos-Castro, SofiaBorges-Dias, MarianaSoares-Oliveira, Miguel2023-01-21T04:40:23Zoai:oai.pjctvs.com:article/213Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:45:24.232660Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Digital Thoracic Drainage System: A New Tool For Pediatric Thoracic Surgery
title Digital Thoracic Drainage System: A New Tool For Pediatric Thoracic Surgery
spellingShingle Digital Thoracic Drainage System: A New Tool For Pediatric Thoracic Surgery
Vasconcelos-Castro, Sofia
pediatrics
digital thoracic drainage
thoracic surgical procedure
pneumothorax
air leak
title_short Digital Thoracic Drainage System: A New Tool For Pediatric Thoracic Surgery
title_full Digital Thoracic Drainage System: A New Tool For Pediatric Thoracic Surgery
title_fullStr Digital Thoracic Drainage System: A New Tool For Pediatric Thoracic Surgery
title_full_unstemmed Digital Thoracic Drainage System: A New Tool For Pediatric Thoracic Surgery
title_sort Digital Thoracic Drainage System: A New Tool For Pediatric Thoracic Surgery
author Vasconcelos-Castro, Sofia
author_facet Vasconcelos-Castro, Sofia
Borges-Dias, Mariana
Soares-Oliveira, Miguel
author_role author
author2 Borges-Dias, Mariana
Soares-Oliveira, Miguel
author2_role author
author
dc.contributor.author.fl_str_mv Vasconcelos-Castro, Sofia
Borges-Dias, Mariana
Soares-Oliveira, Miguel
dc.subject.por.fl_str_mv pediatrics
digital thoracic drainage
thoracic surgical procedure
pneumothorax
air leak
topic pediatrics
digital thoracic drainage
thoracic surgical procedure
pneumothorax
air leak
description Introduction: Digital thoracic drainage systems usage in pediatrics is underreported, making current recommen- dations based on those for adults. We aim to review our experience on the use of this digital system and to evaluate the adequacy of those recommendations. Methods: Retrospective analysis of patients in whom digital thoracic drainage system was used. All patients were submitted to thoracoscopic bleb/apical lung resection for primary spontaneous pneumothorax. Initially patients were man- aged using the few existing recommendations for children, but after 2 unsuccessful cases we changed our approach into tube clamping after continuous air leak < 5mL/min for at least 24 hours. Results: Seventeen procedures (median 17.2-years) were performed; there were no intraoperative complications. After changing the air leak target, 11 procedures were consecutively managed without complications; the median number of chest radiographs per procedure was 3.0 and the median number of days with chest tube was 4.0 days. Conclusions: This is the first report on the usage of this system in children in Portugal. This system constitutes an important technological innovation, but it needs more data gathering and prospective trials in order to maximize its use in children. The authors suggest an algorithm for the management of thoracic digital drainage in children: removal of chest tubes when the air leak is <5mL/min for 24 hours and to perform chest tube clamping for a minimum of 6 hours before removal.
publishDate 2023
dc.date.none.fl_str_mv 2023-01-14
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dc.identifier.uri.fl_str_mv https://doi.org/10.48729/pjctvs.213
https://doi.org/10.48729/pjctvs.213
url https://doi.org/10.48729/pjctvs.213
dc.language.iso.fl_str_mv eng
language eng
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https://pjctvs.com/index.php/journal/article/view/213/278
dc.rights.driver.fl_str_mv Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgery
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Portuguese Journal of Cardiac Thoracic and Vascular Surgery
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv SOCIEDADE PORTUGUESA DE CIRURGIA CARDIO-TORÁCICA E VASCULAR
publisher.none.fl_str_mv SOCIEDADE PORTUGUESA DE CIRURGIA CARDIO-TORÁCICA E VASCULAR
dc.source.none.fl_str_mv Portuguese Journal of Cardiac Thoracic and Vascular Surgery; Vol. 29 No. 4 (2022): Oct - Dec; 21-25
2184-9927
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
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reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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