https://scholars.lib.ntu.edu.tw/handle/123456789/481008
標題: | The Society for Translational Medicine: Clinical practice guidelines for the postoperative management of chest tube for patients undergoing lobectomy | 作者: | Gao S. Zhang Z. Arag?n J. Brunelli A. Cassivi S. Chai Y. Chen C. Chen C. Chen G. Chen H. JIN-SHING CHEN Cooke D.T. Downs J.B. Falcoz P.-E. Fang W. Filosso P.L. Fu X. Force S.D. Garutti M.I. Gonzalez-Rivas D. Gossot D. Hansen H.J. He J. He J. Holbek B.L. Hu J. Huang Y. Ibrahim M. Imperatori A. Ismail M. Jiang G. Jiang H. Jiang Z. Kim H.K. Li D. Li G. Li H. Li Q. Li X. Li Y. Li Z. Lim E. Liu C.-C. Liu D. Liu L. Liu Y. Lobdell K.W. Ma H. Mao W. Mao Y. Mou J. Ng C.S.H. Novoa N.M. Petersen R.H. Oizumi H. Papagiannopoulos K. Pompili C. Qiao G. Refai M. Rocco G. Ruffini E. Salati M. Seguin-Givelet A. Sihoe A.D.L. Tan L. Tan Q. Tong T. Tsakiridis K. Venuta F. Veronesi G. Villamizar N. Wang H. Wang Q. Wang R. Wang S. Wright G.M. Xie D. Xue Q. Xue T. Xu L. Xu S. Xu S. Yan T. Yu F. Yu Z. Zhang C. Zhang L. Zhang T. Zhang X. Zhao X. Zhao X. Zhi X. Zhou Q. |
公開日期: | 2017 | 出版社: | AME Publishing Company | 卷: | 9 | 期: | 9 | 起(迄)頁: | 3255-3264 | 來源出版物: | Journal of Thoracic Disease | 摘要: | The Society for Translational Medicine and The Chinese Society for Thoracic and Cardiovascular Surgery conducted a systematic review of the literature in an attempt to improve our understanding in the postoperative management of chest tubes of patients undergoing pulmonary lobectomy. Recommendations were produced and classified based on an internationally accepted GRADE system. The following recommendations were extracted in the present review: (I) chest tubes can be removed safely with daily pleural fluid of up to 450 mL (non-chylous and non-sanguinous), which may reduce chest tube duration and hospital length of stay (2B); (II) in rare instances, e.g., persistent abundant fluid production, the use of PrRP/B < 0.5 when evaluating fluid output to determine chest tube removal might be beneficial (2B); (III) it is recommended that one chest tube is adequate following pulmonary lobectomy, except for hemorrhage and space problems (2A); (IV) chest tube clearance by milking and stripping is not recommended after lung resection (2B); (V) chest tube suction is not necessary for patients undergoing lobectomy after first postoperative day (2A); (VI) regulated chest tube suction [-11 (-1.08 kPa) to -20 (1.96 kPa) cmH2O depending upon the type of lobectomy] is not superior to regulated seal [-2 (0.196 kPa) cmH2O] when electronic drainage systems are used after lobectomy by thoracotomy (2B); (VII) chest tube removal recommended at the end of expiration and may be slightly superior to removal at the end of inspiration (2A); (VIII) electronic drainage systems are recommended in the management of chest tube in patients undergoing lobectomy (2B). ? Journal of Thoracic Disease. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85030123663&doi=10.21037%2fjtd.2017.08.165&partnerID=40&md5=8595f17bd4e146855bd639c6a3b77e30 https://scholars.lib.ntu.edu.tw/handle/123456789/481008 |
ISSN: | 2072-1439 | DOI: | 10.21037/jtd.2017.08.165 | SDG/關鍵字: | Article; breathing pattern; chest tube; cost control; human; length of stay; lung lobectomy; mortality; patient care; pleura fluid; postoperative care; postoperative period; practice guideline; safety; suction; suction drain; systematic review; thoracocentesis; thoracotomy; thorax pressure; tube removal |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。