Aarhus University Seal / Aarhus Universitets segl

What is the optimal level of suction on digital chest drainage devices following pulmonary lobectomy?

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaperJournal articleResearchpeer-review

DOI

  • Marlene Fromm Sørensen, Aarhus University, Denmark
  • Bo Laksáfoss Holbek, Department of Cardiothoracic Surgery, Rigshospitalet, Copenhagen, Denmark
  • René Horsleben Petersen, Department of Cardiothoracic Surgery, Rigshospitalet, Copenhagen, Denmark
  • Thomas Decker Christensen

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.

Original languageEnglish
JournalInteractive Cardiovascular and Thoracic Surgery
Volume32
Issue6
Pages (from-to)938-41
Number of pages4
ISSN1569-9293
DOIs
Publication statusPublished - Jun 2021

See relations at Aarhus University Citationformats

ID: 210769553