The Effect of Negative Pressure Applied on Chest Tubes in the Amount of Pleural Effusions in Postcoronary Artery Bypass Grafting Patients
Background: Application of negative pressure on chest tubes is one of the most common methods for management of chest tubes drainage after cardio-thoracic surgeries. However, the effect of this measure on long-term outcome of these patients and especially on postoperative pleural effusions is not th...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Research in Cardiovascular Medicine |
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| Online Access: | http://www.rcvmonline.com/article.asp?issn=2251-9572;year=2018;volume=7;issue=1;spage=10;epage=14;aulast=Tabaie |
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| author | Ali Sadeghpour Tabaie Rasoul Azarfarin Bahador Baharestani Shariar Mali Sepehr Sadeghpour Tabaei |
| author_facet | Ali Sadeghpour Tabaie Rasoul Azarfarin Bahador Baharestani Shariar Mali Sepehr Sadeghpour Tabaei |
| author_sort | Ali Sadeghpour Tabaie |
| collection | DOAJ |
| description | Background: Application of negative pressure on chest tubes is one of the most common methods for management of chest tubes drainage after cardio-thoracic surgeries. However, the effect of this measure on long-term outcome of these patients and especially on postoperative pleural effusions is not thoroughly evaluated. For this reason, we designed a clinical randomized trial for the evaluation of the effect of negative pressure application on early and late pleural effusions after coronary artery bypass grafting (CABG) operations. Methods: A total of 440 patients entered in this study and divided into two groups: 220 patients, their chest tubes managed by application of −10–−20 cmH2O negative pressure (negative pressure drainage group) and those who managed conventionally by simple under-water seal method (control group, n = 220). Evaluation for pleural effusion performed by signs and symptoms and chest X-rays at 3rd and 7th postoperative days and for those became symptomatic after 30th day of operation. Results: The occurrence of moderate and massive effusions at 3rd and 7th days after operation was the same in both groups. The most striking difference was in patients' required pleural tap or chest tube insertion, late after surgery due to pleural effusion. This was significantly more common in patients in control group (P < 0.001). Conclusion: Negative pressure application on chest tubes after CABG surgery is a safe and effective method for decreasing the occurrence of late pleural effusion. |
| first_indexed | 2024-12-10T22:37:11Z |
| format | Article |
| id | doaj.art-c0628366d80a458a8b57212b4eff3960 |
| institution | Directory Open Access Journal |
| issn | 2251-9572 2251-9580 |
| language | English |
| last_indexed | 2024-12-10T22:37:11Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Research in Cardiovascular Medicine |
| spelling | doaj.art-c0628366d80a458a8b57212b4eff39602022-12-22T01:30:50ZengWolters Kluwer Medknow PublicationsResearch in Cardiovascular Medicine2251-95722251-95802018-01-0171101410.4103/rcm.rcm_20_17The Effect of Negative Pressure Applied on Chest Tubes in the Amount of Pleural Effusions in Postcoronary Artery Bypass Grafting PatientsAli Sadeghpour TabaieRasoul AzarfarinBahador BaharestaniShariar MaliSepehr Sadeghpour TabaeiBackground: Application of negative pressure on chest tubes is one of the most common methods for management of chest tubes drainage after cardio-thoracic surgeries. However, the effect of this measure on long-term outcome of these patients and especially on postoperative pleural effusions is not thoroughly evaluated. For this reason, we designed a clinical randomized trial for the evaluation of the effect of negative pressure application on early and late pleural effusions after coronary artery bypass grafting (CABG) operations. Methods: A total of 440 patients entered in this study and divided into two groups: 220 patients, their chest tubes managed by application of −10–−20 cmH2O negative pressure (negative pressure drainage group) and those who managed conventionally by simple under-water seal method (control group, n = 220). Evaluation for pleural effusion performed by signs and symptoms and chest X-rays at 3rd and 7th postoperative days and for those became symptomatic after 30th day of operation. Results: The occurrence of moderate and massive effusions at 3rd and 7th days after operation was the same in both groups. The most striking difference was in patients' required pleural tap or chest tube insertion, late after surgery due to pleural effusion. This was significantly more common in patients in control group (P < 0.001). Conclusion: Negative pressure application on chest tubes after CABG surgery is a safe and effective method for decreasing the occurrence of late pleural effusion.http://www.rcvmonline.com/article.asp?issn=2251-9572;year=2018;volume=7;issue=1;spage=10;epage=14;aulast=TabaieChest tubecoronary artery bypass graftingnegative pressurepleural effusion |
| spellingShingle | Ali Sadeghpour Tabaie Rasoul Azarfarin Bahador Baharestani Shariar Mali Sepehr Sadeghpour Tabaei The Effect of Negative Pressure Applied on Chest Tubes in the Amount of Pleural Effusions in Postcoronary Artery Bypass Grafting Patients Research in Cardiovascular Medicine Chest tube coronary artery bypass grafting negative pressure pleural effusion |
| title | The Effect of Negative Pressure Applied on Chest Tubes in the Amount of Pleural Effusions in Postcoronary Artery Bypass Grafting Patients |
| title_full | The Effect of Negative Pressure Applied on Chest Tubes in the Amount of Pleural Effusions in Postcoronary Artery Bypass Grafting Patients |
| title_fullStr | The Effect of Negative Pressure Applied on Chest Tubes in the Amount of Pleural Effusions in Postcoronary Artery Bypass Grafting Patients |
| title_full_unstemmed | The Effect of Negative Pressure Applied on Chest Tubes in the Amount of Pleural Effusions in Postcoronary Artery Bypass Grafting Patients |
| title_short | The Effect of Negative Pressure Applied on Chest Tubes in the Amount of Pleural Effusions in Postcoronary Artery Bypass Grafting Patients |
| title_sort | effect of negative pressure applied on chest tubes in the amount of pleural effusions in postcoronary artery bypass grafting patients |
| topic | Chest tube coronary artery bypass grafting negative pressure pleural effusion |
| url | http://www.rcvmonline.com/article.asp?issn=2251-9572;year=2018;volume=7;issue=1;spage=10;epage=14;aulast=Tabaie |
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