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HandWiki. Chest Drainage Management. Encyclopedia. Available online: https://encyclopedia.pub/entry/31737 (accessed on 16 October 2026).
HandWiki. Chest Drainage Management. Encyclopedia. Available at: https://encyclopedia.pub/entry/31737. Accessed October 16, 2026.
HandWiki. "Chest Drainage Management" Encyclopedia, https://encyclopedia.pub/entry/31737 (accessed October 16, 2026).
HandWiki. (2022, October 28). Chest Drainage Management. In Encyclopedia. https://encyclopedia.pub/entry/31737
HandWiki. "Chest Drainage Management." Encyclopedia. Web. 28 October, 2022.
Chest Drainage Management
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Chest drains are used to preserve respiratory function and haemodynamic stability. One can also utilize a flutter valve, but these do not enable application of negative pressure. The generation of an active sub-atmospheric pressure or vacuum builds the basis of chest drain management. A vacuum is defined as “space with zero pressure” generating a difference in pressure between the pleural space and the atmosphere creates sub-atmospheric pressure in the pleural space, which is used to generate a vacuum in the chest drains.

chest drain stability respiratory function

References

  1. Brunelli, A (2011). "Consensus definitions to promote an evidence-based approach to management of the pleural space. A collaborative proposal by ESTS, AATS, STS and GTSC". European Journal of Cardio-Thoracic Surgery 40 (2): 291–297. doi:10.1016/j.ejcts.2011.05.020. PMID 21757129.  https://dx.doi.org/10.1016%2Fj.ejcts.2011.05.020
  2. Kiefer, Thomas (2017). Provides coverage of the relevant anatomy, procedures and decision-making involved in using chest drains. Springer. ISBN 978-3-319-32339-8. 
  3. Schaller, Stefan J (2016). "Early, goal-directed mobilisation in the surgical intensive care unit: a randomised controlled trial". The Lancet 388 (10052): 1377–1388. doi:10.1016/S0140-6736(16)31637-3. PMID 27707496.  https://dx.doi.org/10.1016%2FS0140-6736%2816%2931637-3
  4. Cerfolio RJ, Bryant AS (2009). "The quantification of postoperative air leaks. Multimedia Manual of Cardiothoracic Surgery". Multimedia Manual of Cardio-Thoracic Surgery 2009 (409): mmcts.2007.003129. doi:10.1510/mmcts.2007.003129. PMID 24412989.  https://dx.doi.org/10.1510%2Fmmcts.2007.003129
  5. McGuire, AL (2015). "Digital versus analogue pleural drainage phase 1: prospective evaluation of interobserver reliability in the assessment of pulmonary air leaks". Interact Cardiovasc Thorac Surg 21 (4): 403–407. doi:10.1093/icvts/ivv128. PMID 26174120.  https://dx.doi.org/10.1093%2Ficvts%2Fivv128
  6. Miserocchi G, Negrini D (1997). "Pleural space: pressure and fluid dynamics.". The Lunge: 1217–1225. 
  7. Varela, G (2009). "Postoperative chest tube management: measuring air leak using an electronic device decreases variability in the clinical practice". European Journal of Cardio-Thoracic Surgery 35 (1): 28–31. doi:10.1016/j.ejcts.2008.09.005. PMID 18848460.  https://dx.doi.org/10.1016%2Fj.ejcts.2008.09.005
  8. Brunelli, A (2010). "Evaluation of a new chest tube removal protocol using digital air leak monitoring after lobectomy: a prospective randomised trial.". European Journal of Cardio-Thoracic Surgery 37 (1): 56–60. doi:10.1016/j.ejcts.2009.05.006. PMID 19589691.  https://dx.doi.org/10.1016%2Fj.ejcts.2009.05.006
  9. Mier, JM (2010). "The benefits of digital air leak assessment after pulmonary resection: Prospective and comparative study". Cirugía Española 87 (6): 385–389. doi:10.1016/j.ciresp.2010.03.012. PMID 20452581.  https://dx.doi.org/10.1016%2Fj.ciresp.2010.03.012
  10. Pompili, C (2014). "Multicenter International Randomized Comparison of Objective and Subjective Outcomes Between Electronic and Traditional Chest Drainage Systems.". Ann. Thorac. Surg. 98 (2): 490–497. doi:10.1016/j.athoracsur.2014.03.043. PMID 24906602.  https://dx.doi.org/10.1016%2Fj.athoracsur.2014.03.043
  11. CADTH. "Compact Digital Thoracic Drain Systems for the Management of Thoracic Surgical Patients: A Review of the Clinical Effectiveness, Safety, and Cost - Effectiveness". https://www.cadth.ca/sites/default/files/pdf/htis/dec-2014/RC0590%20Compact%20Digital%20Thoracic%20Drain%20Final.pdf. 
  12. Danitsch, D (2012). "Benefits of digital thoracic drainage systems. Benefits of digital thoracic drainage systems". Nursing Times 108 (11). 
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