Comparison of the effect of chest tube diameter on drainage rate and tube performance in patients with pleural effusion. A cross-sectional study.

IF 0.6 Q4 SURGERY Kardiochirurgia I Torakochirurgia Polska Pub Date : 2024-09-01 Epub Date: 2024-09-25 DOI:10.5114/kitp.2024.143489
Ehsan Gholami, Gholamreza Sharifzadeh, Matin Vahedi, Alireza Samimiat, Reza Eslamian, Hossein Ebrahimpour
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Abstract

Introduction: Chest tube insertion is one of the essential procedures that is performed for patients suffering from pneumothorax or pleural effusion. Choosing the best chest tube size, with maximum emptying and minimum discomfort and side effects, is one of the most important factors in patient care, while the best tube size is highly a matter of debate. In this investigation, we aimed to assess the difference between the groups with different chest tube sizes regarding the time needed for drainage, the necessity of additional invasive procedures, or pain severity.

Material and methods: In this cross-sectional study, patients with pleural effusion, were entered into the study. patients were randomly divided into two groups based on their chest tube size: size 28 and size 32. Then, the duration of complete effusion emptying and the duration of the chest tube insertion was evaluated.

Results: According to this study, 26 (65.0%) participants were male. The duration for complete evacuation of pleural effusion varied from 3 to 10 days. The average duration of chest tube retention in the group of patients with chest tube sized 28 and 32 were 5.82, and 5.91 days, respectively; The average pain intensity in the group of patients with chest tube sized 28 and 32 were 6.71 ±1.02 and 6.48 ±1.21 units, respectively.

Conclusions: There was no significant difference in how long the chest tube needed to stay in place to fully drain the pleural effusion. They also didn't differ significantly in the need for additional invasive procedures such as VATS, and secondary chest tube insertion. There was no notable difference for pain severity and the need for painkillers in the two groups of patients.

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胸腔导管直径对胸腔积液患者引流率和导管性能影响的比较。横断面研究。
简介胸腔插管是气胸或胸腔积液患者的必经程序之一。选择最佳胸管尺寸是患者护理中最重要的因素之一,它能最大程度地排空胸腔积液,并将不适感和副作用降至最低。在这项调查中,我们旨在评估不同胸管尺寸组在引流所需时间、额外侵入性手术的必要性或疼痛严重程度方面的差异:在这项横断面研究中,胸腔积液患者被纳入研究对象。根据胸管尺寸,患者被随机分为两组:28 号和 32 号。然后,对完全排空积液的时间和插入胸管的时间进行评估:研究显示,26 名参与者(65.0%)为男性。胸腔积液完全排空的时间从 3 天到 10 天不等。胸管尺寸为 28 和 32 的患者的平均胸管留置时间分别为 5.82 天和 5.91 天;胸管尺寸为 28 和 32 的患者的平均疼痛强度分别为 6.71 ±1.02 单位和 6.48 ±1.21 单位:结论:胸腔插管需要放置多长时间才能完全排出胸腔积液没有明显差异。在是否需要进行其他侵入性手术(如 VATS 和二次插入胸管)方面,两者也没有明显差异。两组患者在疼痛严重程度和止痛药需求方面没有明显差异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
44
审稿时长
6-12 weeks
期刊介绍: Polish Journal of Thoracic and Cardiovascular Surgery is a quarterly aimed at cardiologists, cardiosurgeons and thoracic surgeons. Includes the original works (experimental, research and development), illustrative and casuistical works about cardiology and cardiosurgery.
期刊最新文献
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