Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

The effects of low suction on digital drainage devices after lobectomy using video-assisted thoracoscopic surgery: a randomized controlled trial

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. 2019 EACTS Expert Consensus on long-term mechanical circulatory support

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Intraoperative flow profiles of arterial and venous bypass grafts to the left coronary territory

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Burden and causes for hospitalizations following coronary artery bypass grafting: a nationwide cohort study†

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Lung transplantation after ex vivo lung perfusion in two Scandinavian centres

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Ten-Year Trends of Clinicopathologic Features and Surgical Treatment of Lung Cancer in China

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Challenges in optimising recovery after emergency laparotomy

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  3. Enhanced postoperative recovery: good from afar, but far from good?

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  4. Enhanced Recovery After Head and Neck Cancer Reconstruction With a Free Flap-What Is Next?

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. Functional recovery after knee arthroplasty with regional analgesia

    Publikation: Bidrag til tidsskriftKommentar/debatForskningpeer review

Vis graf over relationer

OBJECTIVES: The optimal level of suction on digital chest drainage devices after lobectomy using video-assisted thoracoscopic surgery (VATS) is unknown and varies between thoracic centres. In this randomized controlled trial, we assessed the potential benefits of low suction of -2 cmH2O compared to -10 cmH2O, using a digital drainage device.

METHODS: Two hundred and twenty-eight patients were randomized into 2 groups after VATS lobectomy for suspected or confirmed lung cancer. Primary outcome was time to chest drain removal. Drain data were obtained from the digital drainage devices, and patient data were obtained from medical records during admission, with a follow-up until postoperative day 30.

RESULTS: For the -2 cmH2O and -10 cmH2O groups, median (interquartile range) drainage duration was 27.4 h (23.3-71.2) and 47.5 h (24.5-117.8) (P = 0.047), and the incidence of prolonged air leak >5 days was 14.4% and 24.3% (P = 0.089), respectively. Median total fluid production was 566 h (329-1155) ml and 795 h (454-1605) ml (P = 0.007). Median time to consistent air leak cessation (<20 ml/min) was 5.2 h (0.3-34.2) and 23.7 h (0.8-90.8) (P < 0.001). There were no differences in the proportion or the size of the pneumothorax or subcutaneous emphysema after drain removal, and no differences were observed in postoperative morbidity. Median length of in-hospital stay was 2.0 days (2.0-5.8) and 3.0 days (2.0-9.0) (P = 0.18).

CONCLUSIONS: A low suction level significantly shortened drainage duration, time to air leak cessation and total fluid production, without increasing morbidity.

Clinical trial registration number: NCT02911259.

OriginalsprogEngelsk
TidsskriftEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery
Vol/bind55
Udgave nummer4
Sider (fra-til)673-681
Antal sider9
ISSN1010-7940
DOI
StatusUdgivet - 2019

ID: 55663496