An automated line-clearing chest tube system after cardiac surgery.
An automated line-clearing chest tube system after cardiac surgery.
复制标题
心脏手术后自动清理胸管系统。
DOI：
10.1016/j.xjon.2022.02.020
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发表时间：
2022-06
期刊：
影响因子：
--
通讯作者：
Boyd, Jack H
中科院分区：
文献类型：
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作者：
Obafemi, Oluwatomisin Olurotimi;Wang, Hanjay;Bajaj, Simar S;O'Donnell, Christian T;Elde, Stefan;Boyd, Jack H
完成自动清线Thoraguard胸管系统的首次人体研究。这项研究的重点是与传统模型相比，该装置的可行性和有效性，以及患者体验和易用性等次要问题。这是一项单中心、前瞻性、开放标签的研究，涉及27例首次接受非紧急心脏手术的成年患者。患者接受自动清除胸管，在纵隔和胸膜间隙进行手术引流。对照组为回顾性研究（n = 80）；个体接受常规胸管放置，并固定在外科医生决定的位置。与传统胸管相比，自动间隙管在1、3、6、12和24小时的引流曲线相似。拔管时的最终输出量也相似（分别为1150[750-1590]和1289 [766.3-1890]mL, P = 0.76）。两组再次入院引流积液的患者数量相似（1/27 [3.7%]vs 3/80 [3.75%], P < 0.05 .99）。本研究表明，Centese Thoraguard胸管系统是外科胸腔引流的可行选择，在常规心脏手术中使用效果良好。图形摘要描述了研究的方法和选择标准、结果和含义。
To complete the first in-human study of the automated line clearance Thoraguard chest tube system. The study focuses on the viability and efficacy of the device in comparison with conventional models as well as secondary matters such as patient experience and ease of use. This was a single-center, prospective, open-label study involving adult patients (n = 27) who underwent nonemergent, first-time, cardiac surgery. Patients received automated clearance chest tubes for surgical drainage in both the mediastinal and pleural spaces. The control group was retrospective (n = 80); individuals received conventional chest tubes placed and secured in locations determined at the surgeon's discretion. The automated-clearance tubes exhibited a similar drainage profile at 1, 3, 6, 12, and 24 hours compared with the conventional chest tubes. The final output at the time of tube removal was also similar (1150 [750-1590] vs 1289 [766.3-1890] mL, respectively, P = .76). The number of patients readmitted for drainage of an effusion was similar in both groups (1/27 [3.7%] vs 3/80 [3.75%], P > .99). This study has shown that the Centese Thoraguard chest tube system is a viable option for surgical chest drainage and effective when used in routine cardiac surgery operations. Graphical Abstract depicting the study's methods and selection criteria, results, and implications.