TY - JOUR
T1 - The Society for Translational Medicine
T2 - clinical practice guidelines for the postoperative management of chest tube for patients undergoing lobectomy
AU - Gao, Shugeng
AU - Zhang, Zhongheng
AU - Aragón, Javier
AU - Brunelli, Alessandro
AU - Cassivi, Stephen
AU - Chai, Ying
AU - Chen, Chang
AU - Chen, Chun
AU - Chen, Gang
AU - Chen, Haiquan
AU - Chen, Jin-Shing
AU - Cooke, David Tom
AU - Downs, John B
AU - Falcoz, Pierre-Emmanuel
AU - Fang, Wentao
AU - Filosso, Pier Luigi
AU - Fu, Xiangning
AU - Force, Seth D
AU - Garutti, Martínez I
AU - Gonzalez-Rivas, Diego
AU - Gossot, Dominique
AU - Hansen, Henrik Jessen
AU - He, Jianxing
AU - He, Jie
AU - Holbek, Bo Laksáfoss
AU - Hu, Jian
AU - Huang, Yunchao
AU - Ibrahim, Mohsen
AU - Imperatori, Andrea
AU - Ismail, Mahmoud
AU - Jiang, Gening
AU - Jiang, Hongjing
AU - Jiang, Zhongmin
AU - Kim, Hyun Koo
AU - Li, Danqing
AU - Li, Gaofeng
AU - Li, Hui
AU - Li, Qiang
AU - Li, Xiaofei
AU - Li, Yin
AU - Li, Zhijun
AU - Lim, Eric
AU - Liu, Chia-Chuan
AU - Liu, Deruo
AU - Liu, Lunxu
AU - Liu, Yongyi
AU - Lobdell, Kevin W
AU - Ma, Haitao
AU - Petersen, René H
AU - Zhao, Xuewei
AU - Zhi, Xiuyi
AU - Zhou, Qinghua
AU - et al.
PY - 2017/9/1
Y1 - 2017/9/1
N2 - The Society for Translational Medicine and The Chinese Society for Thoracic and Cardiovascular Surgery conducted a systematic review of the literature in an attempt to improve our understanding in the postoperative management of chest tubes of patients undergoing pulmonary lobectomy. Recommendations were produced and classified based on an internationally accepted GRADE system. The following recommendations were extracted in the present review: (I) chest tubes can be removed safely with daily pleural fluid of up to 450 mL (non-chylous and non-sanguinous), which may reduce chest tube duration and hospital length of stay (2B); (II) in rare instances, e.g., persistent abundant fluid production, the use of PrRP/B < 0.5 when evaluating fluid output to determine chest tube removal might be beneficial (2B); (III) it is recommended that one chest tube is adequate following pulmonary lobectomy, except for hemorrhage and space problems (2A); (IV) chest tube clearance by milking and stripping is not recommended after lung resection (2B); (V) chest tube suction is not necessary for patients undergoing lobectomy after first postoperative day (2A); (VI) regulated chest tube suction [-11 (-1.08 kPa) to -20 (1.96 kPa) cmH2O depending upon the type of lobectomy] is not superior to regulated seal [-2 (0.196 kPa) cmH2O] when electronic drainage systems are used after lobectomy by thoracotomy (2B); (VII) chest tube removal recommended at the end of expiration and may be slightly superior to removal at the end of inspiration (2A); (VIII) electronic drainage systems are recommended in the management of chest tube in patients undergoing lobectomy (2B).
AB - The Society for Translational Medicine and The Chinese Society for Thoracic and Cardiovascular Surgery conducted a systematic review of the literature in an attempt to improve our understanding in the postoperative management of chest tubes of patients undergoing pulmonary lobectomy. Recommendations were produced and classified based on an internationally accepted GRADE system. The following recommendations were extracted in the present review: (I) chest tubes can be removed safely with daily pleural fluid of up to 450 mL (non-chylous and non-sanguinous), which may reduce chest tube duration and hospital length of stay (2B); (II) in rare instances, e.g., persistent abundant fluid production, the use of PrRP/B < 0.5 when evaluating fluid output to determine chest tube removal might be beneficial (2B); (III) it is recommended that one chest tube is adequate following pulmonary lobectomy, except for hemorrhage and space problems (2A); (IV) chest tube clearance by milking and stripping is not recommended after lung resection (2B); (V) chest tube suction is not necessary for patients undergoing lobectomy after first postoperative day (2A); (VI) regulated chest tube suction [-11 (-1.08 kPa) to -20 (1.96 kPa) cmH2O depending upon the type of lobectomy] is not superior to regulated seal [-2 (0.196 kPa) cmH2O] when electronic drainage systems are used after lobectomy by thoracotomy (2B); (VII) chest tube removal recommended at the end of expiration and may be slightly superior to removal at the end of inspiration (2A); (VIII) electronic drainage systems are recommended in the management of chest tube in patients undergoing lobectomy (2B).
U2 - 10.21037/jtd.2017.08.165
DO - 10.21037/jtd.2017.08.165
M3 - Review
C2 - 29221303
SN - 2072-1439
VL - 9
SP - 3255
EP - 3264
JO - Journal of Thoracic Disease
JF - Journal of Thoracic Disease
IS - 9
ER -