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Use of a novel digital drainage system after pulmonary resection

BACKGROUND: The Thoraguard Surgical Drainage System is a novel device for drainage of air and fluid after cardiothoracic surgery. METHODS: A three-part study was conducted: a prospective observational safety and feasibility study, a retrospective comparison of patients managed with an analogue drain...

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Autores principales: Geraci, Travis C., Sorensen, Audrey, James, Les, Chen, Stacey, El Zaeedi, Mohamed, Cerfolio, Robert J., Zervos, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9562523/
https://www.ncbi.nlm.nih.gov/pubmed/36245636
http://dx.doi.org/10.21037/jtd-22-574
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author Geraci, Travis C.
Sorensen, Audrey
James, Les
Chen, Stacey
El Zaeedi, Mohamed
Cerfolio, Robert J.
Zervos, Michael
author_facet Geraci, Travis C.
Sorensen, Audrey
James, Les
Chen, Stacey
El Zaeedi, Mohamed
Cerfolio, Robert J.
Zervos, Michael
author_sort Geraci, Travis C.
collection PubMed
description BACKGROUND: The Thoraguard Surgical Drainage System is a novel device for drainage of air and fluid after cardiothoracic surgery. METHODS: A three-part study was conducted: a prospective observational safety and feasibility study, a retrospective comparison of patients managed with an analogue drainage system, and a clinician user-feedback survey. RESULTS: Fifty patients underwent robotic pulmonary resection utilizing the Thoraguard system for postoperative drainage. The Thoraguard system detected a higher number of air leaks than an analogue system (36/50, 72% vs. 45/200, 23%; P<0.001) and was associated with decreased chest tube duration of 1 day [interquartile range (IQR) 0–2] vs. 2 days (IQR 2–3) (P=0.042) and hospital length of stay of 2 days (IQR 2–3) vs. 3 days (IQR 2–4) (P=0.027). Patients with a peak air leak less than 100 mL/min (32 patients, 64%), had a decreased median chest tube duration of 1 day (IQR 0–1) vs. 2.8 days (IQR 1–3) (P=0.004). Compared to an analogue system, the Thoraguard system had superior user-reported ability to detect air-leaks (17/23, 74%), better ease of patient ambulation (14/23, 61%), and better display of clinically relevant information (22/23, 96%). CONCLUSIONS: The Thoraguard Surgical Drainage System provides safe and effective drainage post pulmonary resection. Compared to an analogue system, the Thoraguard system detected a higher number of air leaks and was associated with decreased chest tube duration and hospital length of stay. User survey data reported superior air leak detection, display of clinical data, and ease of use of the Thoraguard system.
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spelling pubmed-95625232022-10-15 Use of a novel digital drainage system after pulmonary resection Geraci, Travis C. Sorensen, Audrey James, Les Chen, Stacey El Zaeedi, Mohamed Cerfolio, Robert J. Zervos, Michael J Thorac Dis Original Article BACKGROUND: The Thoraguard Surgical Drainage System is a novel device for drainage of air and fluid after cardiothoracic surgery. METHODS: A three-part study was conducted: a prospective observational safety and feasibility study, a retrospective comparison of patients managed with an analogue drainage system, and a clinician user-feedback survey. RESULTS: Fifty patients underwent robotic pulmonary resection utilizing the Thoraguard system for postoperative drainage. The Thoraguard system detected a higher number of air leaks than an analogue system (36/50, 72% vs. 45/200, 23%; P<0.001) and was associated with decreased chest tube duration of 1 day [interquartile range (IQR) 0–2] vs. 2 days (IQR 2–3) (P=0.042) and hospital length of stay of 2 days (IQR 2–3) vs. 3 days (IQR 2–4) (P=0.027). Patients with a peak air leak less than 100 mL/min (32 patients, 64%), had a decreased median chest tube duration of 1 day (IQR 0–1) vs. 2.8 days (IQR 1–3) (P=0.004). Compared to an analogue system, the Thoraguard system had superior user-reported ability to detect air-leaks (17/23, 74%), better ease of patient ambulation (14/23, 61%), and better display of clinically relevant information (22/23, 96%). CONCLUSIONS: The Thoraguard Surgical Drainage System provides safe and effective drainage post pulmonary resection. Compared to an analogue system, the Thoraguard system detected a higher number of air leaks and was associated with decreased chest tube duration and hospital length of stay. User survey data reported superior air leak detection, display of clinical data, and ease of use of the Thoraguard system. AME Publishing Company 2022-09 /pmc/articles/PMC9562523/ /pubmed/36245636 http://dx.doi.org/10.21037/jtd-22-574 Text en 2022 Journal of Thoracic Disease. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Original Article
Geraci, Travis C.
Sorensen, Audrey
James, Les
Chen, Stacey
El Zaeedi, Mohamed
Cerfolio, Robert J.
Zervos, Michael
Use of a novel digital drainage system after pulmonary resection
title Use of a novel digital drainage system after pulmonary resection
title_full Use of a novel digital drainage system after pulmonary resection
title_fullStr Use of a novel digital drainage system after pulmonary resection
title_full_unstemmed Use of a novel digital drainage system after pulmonary resection
title_short Use of a novel digital drainage system after pulmonary resection
title_sort use of a novel digital drainage system after pulmonary resection
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9562523/
https://www.ncbi.nlm.nih.gov/pubmed/36245636
http://dx.doi.org/10.21037/jtd-22-574
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