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Antonio E. Martin-Ucar
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Gaetano Rocco
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Interactive Cardiovascular and Thoracic Surgery 2:251-255(2003)
© 2003 European Association of Cardio-Thoracic Surgery

Institutional review - Thoracic general

Implementation of a user-friendly protocol for interpretation of air-leaks and management of intercostal chest drains after thoracic surgery

Antonio E. Martin-Ucar, Eliseo Passera, Roger Vaughan and Gaetano Rocco*

The Price-Thomas Thoracic Surgical Unit, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK

* Corresponding author. Tel.: +44-114-271-4950; fax: +44-114-271-4289
gaetano.rocco{at}btopenworld.com

We prospectively audited the implementation of a protocol for management of air-leaks and intercostal drains after thoracic surgical procedures. Out of the 99 patients who underwent thoracic surgical procedures during a 3-month period, 41 presented a postoperative air-leak on day 1. The protocol was strictly followed in 95% of the cases. The median drainage-time and hospital-stay were 3 and 4 days, respectively. The incidence of insertion of postoperative drains was 3%. Most of the nursing staff found the protocol user-friendly and easy to apply. A protocol for the management of postoperative air-leaks and intercostal drains can be implemented with high-compliance low complications.

Key Words: Chest drains; Clinical pathway




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[Abstract] [Full Text] [PDF]


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