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Digital drainage system: how far can we go?

Costa Jr Ada S, Leão LE, Succi JE, Rymkiewicz E, Folador J, Kazantzis T - J Bras Pneumol (2014)

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic Surgery, Paulista School of Medicine Hospital São Paulo, Federal University of São Paulo.

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Most patients who have lung surgery require drainage of the pleural space to removepleural fluid and air in the postoperative period and to allow adequate expansion of theremaining lung... It has alarms and alerts for various situations, such as tubeocclusion, system disconnection, suction failure, etc... Because it is a completely closedsystem, the fluid has no contact with the outside environment, and this providesimproved biosafety for the health care team and patients themselves... When the air leak is less than 40 mL/min in the preceding 6 h,which can be seen in the chart on the device screen, the tube can beremoved... The amount of liquid is measured traditionally into a graded container.Digital drainage systems are well tolerated by patients and provide greater safety andmobility... They can reduce the duration of hospital stay and its costs, since the tube isremoved earlier... The patient alsohad an air leak from the tube, and, from postoperative day 2 onward, he was monitoredwith the Thopaz digital system (Medela, Baar, Switzerland; Figure 1)... We thus obtain moreparameters, such as duration of drainage, with the date and the start and end time ofsystem use, as well as minimum and maximum values for suction and air leaks (Figure 2)... It allows early mobilization of patients, even for those on continuoussuction, which is difficult to accomplish with the traditional water-seal system undersuction... It simplifies nursing care because of improved safety and providesobjective data about air leaks... Among the disadvantages are the need for training healthprofessionals in handling the system and the "custo Brasil" (Brazilcost) to import it... Although the system is routinely used in health facilities worldwide, there is still uncertainty as to which patients would benefit from its use.We need to determine where this digital system would make a difference, and, therefore,we believe that it should also be evaluated and studied in Brazil.

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Digital thoracic drainage system.
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f01: Digital thoracic drainage system.

Mentions: The device was used in a severely ill elderly male with hypertension, diabetes,arteriosclerosis, COPD, and lung cancer. At the time, the patient had bloody sputum withsome episodes of hemoptysis and a mass in the middle lobe. After lung resection, heremained on mechanical ventilation for 5 days, under intensive care. The patient alsohad an air leak from the tube, and, from postoperative day 2 onward, he was monitoredwith the Thopaz(r) digital system (Medela, Baar, Switzerland; Figure 1).


Digital drainage system: how far can we go?

Costa Jr Ada S, Leão LE, Succi JE, Rymkiewicz E, Folador J, Kazantzis T - J Bras Pneumol (2014)

Digital thoracic drainage system.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4263340&req=5

f01: Digital thoracic drainage system.
Mentions: The device was used in a severely ill elderly male with hypertension, diabetes,arteriosclerosis, COPD, and lung cancer. At the time, the patient had bloody sputum withsome episodes of hemoptysis and a mass in the middle lobe. After lung resection, heremained on mechanical ventilation for 5 days, under intensive care. The patient alsohad an air leak from the tube, and, from postoperative day 2 onward, he was monitoredwith the Thopaz(r) digital system (Medela, Baar, Switzerland; Figure 1).

View Article: PubMed Central - PubMed

Affiliation: Department of Thoracic Surgery, Paulista School of Medicine Hospital São Paulo, Federal University of São Paulo.

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Most patients who have lung surgery require drainage of the pleural space to removepleural fluid and air in the postoperative period and to allow adequate expansion of theremaining lung... It has alarms and alerts for various situations, such as tubeocclusion, system disconnection, suction failure, etc... Because it is a completely closedsystem, the fluid has no contact with the outside environment, and this providesimproved biosafety for the health care team and patients themselves... When the air leak is less than 40 mL/min in the preceding 6 h,which can be seen in the chart on the device screen, the tube can beremoved... The amount of liquid is measured traditionally into a graded container.Digital drainage systems are well tolerated by patients and provide greater safety andmobility... They can reduce the duration of hospital stay and its costs, since the tube isremoved earlier... The patient alsohad an air leak from the tube, and, from postoperative day 2 onward, he was monitoredwith the Thopaz digital system (Medela, Baar, Switzerland; Figure 1)... We thus obtain moreparameters, such as duration of drainage, with the date and the start and end time ofsystem use, as well as minimum and maximum values for suction and air leaks (Figure 2)... It allows early mobilization of patients, even for those on continuoussuction, which is difficult to accomplish with the traditional water-seal system undersuction... It simplifies nursing care because of improved safety and providesobjective data about air leaks... Among the disadvantages are the need for training healthprofessionals in handling the system and the "custo Brasil" (Brazilcost) to import it... Although the system is routinely used in health facilities worldwide, there is still uncertainty as to which patients would benefit from its use.We need to determine where this digital system would make a difference, and, therefore,we believe that it should also be evaluated and studied in Brazil.

Show MeSH
Related in: MedlinePlus