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A comparison of chest tubes versus bulb-suction drains in pediatric thoracic surgery

      Abstract

      Background/Purpose

      Chest tubes are commonly used to evacuate the pleural space of air and fluid after thoracic surgery. The safety and efficacy of postoperative traditional chest tubes (CTs) versus soft bulb-suction drains (BDs) in the management of pediatric patients undergoing thoracic procedures were investigated.

      Methods

      An institutional review board–approved, retrospective review was performed on all patients who required noncardiac, nontraumatic thoracic operations from January 2000 to December 2005. Patient data included BD or CT drainage, age at operation, indication for surgery, open or thoracoscopic approach, days of postoperative drainage, the development of a postremoval pneumothorax, and complications. Statistical comparisons were made using t test and χ2 test.

      Results

      During the study period, 186 patients with complete records underwent a thoracic operation. One hundred twenty (65%) received a CT, whereas 66 (35%) received a BD. Patients who received CT averaged 5.6 days of drainage compared with 4.4 days in the group that received BD. Postremoval pneumothorax developed in 5 (4%) patients with CT compared with 4 (6%) patients with BD. Two patients in the CT group required reinsertion of another CT. None of the BD patients required further intervention.

      Conclusion

      For thoracoscopic and open thoracic operations, BDs are as safe and efficacious as traditional CT.

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      References

        • Owen S.
        • Gould D.
        Underwater seal chest drains: the patient's experience.
        J Clin Nurs. 1997; 6: 215-225
        • Fox V.
        • Gould D.
        • Davies N.
        • et al.
        Patients' experiences of having an underwater seal chest drain: a replication study.
        J Clin Nurs. 1999; 8: 684-692
        • Gift A.G.
        • Bolgiano C.S.
        • Cunningham J.
        Sensations during chest tube removal.
        Heart Lung. 1991; 20: 131-137
        • Puntillo K.A.
        Effects of interpleural bupivacaine on pleural chest tube removal pain: a randomized controlled trial.
        Am J Crit Care. 1996; 5: 102-128
        • Puntillo K.
        • Ley S.J.
        Appropriately timed analgesics control pain due to chest tube removal.
        Am J Crit Care. 2004; 13: 292-301
        • Bruce E.A.
        • Howard R.F.
        • Franck L.S.
        Chest drain removal pain and its management: a literature review.
        J Clin Nurs. 2006; 5: 145-154
        • Kejriwal N.K.
        • Newman M.A.
        Use of a single silastic chest drain following thoracotomy: initial evaluation.
        A N Z J Surg. 2005; 75: 710-712
        • Akowuah E.
        • Ho E.C.
        • George R.
        • et al.
        Less pain with flexible fluted silicone chest drains than with conventional rigid chest tubes after cardiac surgery.
        J Thorac Cardiovasc Surg. 2002; 124: 1027-1028
        • Dull K.E.
        • Fleisher G.R.
        Pigtail catheters versus large-bore chest tubes for pneumothoraces in children treated in the emergency department.
        Pediatr Emerd Care. 2002; 18: 265-267
        • Liu C.M.
        • Hang L.W.
        • Chen W.K.
        • et al.
        Pigtail tube drainage in the treatment of spontaneous pneumothorax.
        Am J Emerg Med. 2003; 21: 241-244