TY - JOUR
T1 - What is the optimal level of suction on digital chest drainage devices following pulmonary lobectomy?
AU - Sørensen, Marlene Fromm
AU - Holbek, Bo Laksáfoss
AU - Petersen, René Horsleben
AU - Christensen, Thomas Decker
N1 - © The Author(s) 2021. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
PY - 2021/6
Y1 - 2021/6
N2 - A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was: what is the optimal level of suction on digital chest drainage devices following pulmonary lobectomy? Altogether 367 papers were found using the reported search, of which 4 randomized controlled trials using digital chest drainage devices represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. The new digital drainage systems enhance early mobilization as recommended in the enhanced recovery after surgery programme. There is, however, no consensus on the optimal level of suction to apply after pulmonary lobectomy. This is especially the case for digital drainage devices. Surgeon preference will likely continue to guide practice, until the evidence gives clear-cut recommendations. According to the current data, a low suction reduces total fluid drainage and perhaps air leak duration compared to higher suction levels in both video-assisted thoracoscopic surgery and open pulmonary lobectomies using digital drainage devices, although the evidence is not overwhelming.
AB - A best evidence topic in thoracic surgery was written according to a structured protocol. The question addressed was: what is the optimal level of suction on digital chest drainage devices following pulmonary lobectomy? Altogether 367 papers were found using the reported search, of which 4 randomized controlled trials using digital chest drainage devices represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. The new digital drainage systems enhance early mobilization as recommended in the enhanced recovery after surgery programme. There is, however, no consensus on the optimal level of suction to apply after pulmonary lobectomy. This is especially the case for digital drainage devices. Surgeon preference will likely continue to guide practice, until the evidence gives clear-cut recommendations. According to the current data, a low suction reduces total fluid drainage and perhaps air leak duration compared to higher suction levels in both video-assisted thoracoscopic surgery and open pulmonary lobectomies using digital drainage devices, although the evidence is not overwhelming.
KW - Chest drain
KW - Digital drainage device
KW - Lobectomy
KW - Suction
KW - Thoracotomy
KW - Length of Stay
KW - Humans
KW - Benchmarking
KW - Treatment Outcome
KW - Chest Tubes
KW - Drainage
KW - Time Factors
KW - Pneumonectomy/adverse effects
KW - Thoracic Surgery, Video-Assisted/adverse effects
U2 - 10.1093/icvts/ivab028
DO - 10.1093/icvts/ivab028
M3 - Journal article
C2 - 33569581
SN - 1569-9293
VL - 32
SP - 938
EP - 941
JO - Interactive Cardiovascular and Thoracic Surgery
JF - Interactive Cardiovascular and Thoracic Surgery
IS - 6
ER -