Brazilian Journal of Pulmonology

ISSN (on-line): 1806-3756 | ISSN (printed): 1806-3713

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An initial experience with a digital drainage system during the postoperative period of pediatric thoracic surgery

Experiência inicial com um sistema de drenagem digital no pós-operatório de cirurgia torácica pediátrica

Altair da Silva Costa Jr1,2,3, Thiago Bachichi1, Caio Holanda1, Luiz Augusto Lucas Martins De Rizzo4

J Bras Pneumol.2016;42(6):444-446

Abstract PDF PT PDF EN Portuguese Text

Objective: To report an initial experience with a digital drainage system during the postoperative period of pediatric thoracic surgery. Methods: This was a prospective observational study involving consecutive patients, ≤ 14 years of age, treated at a pediatric thoracic surgery outpatient clinic, for whom pulmonary resection (lobectomy or segmentectomy via muscle-sparing thoracotomy) was indicated. The parameters evaluated were air leak (as quantified with the digital system), biosafety, duration of drainage, length of hospital stay, and complications. The digital system was used in 11 children (mean age, 5.9 ± 3.3 years). The mean length of hospital stay was 4.9 ± 2.6 days, the mean duration of drainage was 2.5 ± 0.7 days, and the mean drainage volume was 270.4 ± 166.7 mL. The mean maximum air leak flow was 92.78 ± 95.83 mL/min (range, 18-338 mL/min). Two patients developed postoperative complications (atelectasis and pneumonia, respectively). The use of this digital system facilitated the decision-making process during the postoperative period, reducing the risk of errors in the interpretation and management of air leaks.

 


Keywords: Drainage; Thoracic surgery; Pediatrics.

 


 

 


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