Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Early pleural fluid dynamics following video-assisted thoracoscopic lobectomy has limited clinical value

Research output: Contribution to journalJournal articleResearchpeer-review

DOI

  1. Benefits of omitting chest drain after thoracoscopic major lung resection

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Computed tomography of the chest in unilateral pleural effusions: outcome of the British Thoracic Society guideline

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Incidence of malignancy and survival in patients with idiopathic pleuritis

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Society for Translational Medicine expert consensus on the use of antibacterial drugs in thoracic surgery

    Research output: Contribution to journalReviewResearchpeer-review

  1. A simple method to secure data-driven improvement of perioperative care

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Comment on "Epidural Analgesia (TEA) vs. IV-PCA After Open Liver Surgery"

    Research output: Contribution to journalComment/debateResearchpeer-review

  3. Enhanced recovery after surgery components and perioperative outcomes: a nationwide observational study

    Research output: Contribution to journalJournal articleResearchpeer-review

View graph of relations

The objective of this study was to evaluate the potential of predicting the pleural fluid output in patients after video-assisted thoracoscopic lobectomy of the lung. Detailed measurements of continuous fluid output were obtained prospectively using an electronic thoracic drainage device (Thopaz+™, Medela AG, Switzerland). Patients were divided into high (≥500 mL) and low (<500 mL) 24-hour fluid output, and detailed flow curves were plotted graphically to identify arithmetic patterns predicting fluid output in the early (≤24 hours) and later (24-48 hours) post-operative phase. Furthermore, multiple logistic regression analysis was used to predict high 24-hour fluid output using baseline data. Data were obtained from 50 patients, where 52% had a fluid output of <500 mL/24 hours. From visual assessment of flow curves, patients were grouped according to fluid output 6 hours postoperatively. An output ≥200 mL/6 hours was predictive of 'high 24-hour fluid output' (P<0.0001). However, 33% of patients with <200 mL/6 hours ended with a 'high 24-hour fluid output'. Baseline data showed no predictive value of fluid production, and 24-hour fluid output had no predictive value of fluid output between 24 and 48 hours. Assessment of initial fluid production may predict high 24-hour fluid output (≥500 mL) but seems to lack clinical value in drain removal criteria.

Original languageEnglish
JournalJournal of Thoracic Disease
Volume9
Issue number7
Pages (from-to)2204-2208
Number of pages5
ISSN2072-1439
DOIs
Publication statusPublished - Jul 2017

    Research areas

  • Journal Article

ID: 51603462