Safety and efficacy of digital chest drainage units compared to conventional chest drainage units in cardiac surgery
Abstract OBJECTIVES The use of digital chest drainage units (CDUs) has become increasingly common in thoracic surgery due to several advantages. However, in cardiac surgery, its use is still limited in favour of conventional analogue CDUs. In order to investigate the potential benefit of digital CDU...
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| Veröffentlicht in: | Interactive cardiovascular and thoracic surgery 2020-07, Vol.31 (1), p.42-47 |
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| creator | Saha, Shekhar Hofmann, Sandra Jebran, Ahmad Fawad Waezi, Narges Kutschka, Ingo Friedrich, Martin G Niehaus, Heidi |
| description | Abstract
OBJECTIVES
The use of digital chest drainage units (CDUs) has become increasingly common in thoracic surgery due to several advantages. However, in cardiac surgery, its use is still limited in favour of conventional analogue CDUs. In order to investigate the potential benefit of digital CDUs in cardiac surgery, we compared the safety and efficacy of both systems in patients undergoing cardiac surgery at our centre.
METHODS
We retrospectively investigated 265 consecutive patients who underwent cardiac surgery at our institution between June 2017 and October 2017. These patients were divided into 2 groups: patients with analogue (A, n = 65) and digital CDUs (D, n = 200). Postoperative outcome was analysed and compared between both groups. In addition, the ‘user experience’ was evaluated by means of a questionnaire.
RESULTS
The median age of the cohort was 70 years (P = 0.167), 25.3% of patients were female (P = 0.414). There were no differences in terms of re-explorative surgery or use of blood products. Nor was there a difference in the overall amount of fluid collected. However, during the first 6 h, more fluid was collected by the digital CDUs. The overall rate of technical failure was 0.4%. We observed a significantly higher rate of clotting in the tubing system of the digital CDUs (P = 0.042). Concerning the user experience, the digital CDUs were associated with a more favourable ease of use on the regular wards (P |
| doi_str_mv | 10.1093/icvts/ivaa049 |
| format | Article |
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OBJECTIVES
The use of digital chest drainage units (CDUs) has become increasingly common in thoracic surgery due to several advantages. However, in cardiac surgery, its use is still limited in favour of conventional analogue CDUs. In order to investigate the potential benefit of digital CDUs in cardiac surgery, we compared the safety and efficacy of both systems in patients undergoing cardiac surgery at our centre.
METHODS
We retrospectively investigated 265 consecutive patients who underwent cardiac surgery at our institution between June 2017 and October 2017. These patients were divided into 2 groups: patients with analogue (A, n = 65) and digital CDUs (D, n = 200). Postoperative outcome was analysed and compared between both groups. In addition, the ‘user experience’ was evaluated by means of a questionnaire.
RESULTS
The median age of the cohort was 70 years (P = 0.167), 25.3% of patients were female (P = 0.414). There were no differences in terms of re-explorative surgery or use of blood products. Nor was there a difference in the overall amount of fluid collected. However, during the first 6 h, more fluid was collected by the digital CDUs. The overall rate of technical failure was 0.4%. We observed a significantly higher rate of clotting in the tubing system of the digital CDUs (P = 0.042). Concerning the user experience, the digital CDUs were associated with a more favourable ease of use on the regular wards (P < 0.001). With regard to the overall user experience, the digital CDUs outperformed the analogue systems (P = 0.002).
CONCLUSIONS
Digital CDUs can be safely and effectively applied in patients after cardiac surgery. Due to the improved patient mobility and simplified chest tube management, the use of digital CDUs may be advantageous for patients after cardiac surgery. However, the issue of clotting of the tubing systems should be addressed by further technical improvements.</description><identifier>ISSN: 1569-9285</identifier><identifier>EISSN: 1569-9285</identifier><identifier>DOI: 10.1093/icvts/ivaa049</identifier><identifier>PMID: 32249898</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Aged ; Cardiac Surgical Procedures - methods ; Chest Tubes ; Drainage - methods ; Female ; Humans ; Male ; Middle Aged ; Postoperative Care - methods ; Prospective Studies ; Surveys and Questionnaires</subject><ispartof>Interactive cardiovascular and thoracic surgery, 2020-07, Vol.31 (1), p.42-47</ispartof><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved. 2020</rights><rights>The Author(s) 2020. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c326t-f3aaaaca6ba2d3e1351b8cf2f59c6e8b7c9674459da1ae269b4ed0a80f16c773</citedby><cites>FETCH-LOGICAL-c326t-f3aaaaca6ba2d3e1351b8cf2f59c6e8b7c9674459da1ae269b4ed0a80f16c773</cites><orcidid>0000-0003-4436-1919</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,778,782,1601,27911,27912</link.rule.ids><linktorsrc>$$Uhttps://dx.doi.org/10.1093/icvts/ivaa049$$EView_record_in_Oxford_University_Press$$FView_record_in_$$GOxford_University_Press</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32249898$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Saha, Shekhar</creatorcontrib><creatorcontrib>Hofmann, Sandra</creatorcontrib><creatorcontrib>Jebran, Ahmad Fawad</creatorcontrib><creatorcontrib>Waezi, Narges</creatorcontrib><creatorcontrib>Kutschka, Ingo</creatorcontrib><creatorcontrib>Friedrich, Martin G</creatorcontrib><creatorcontrib>Niehaus, Heidi</creatorcontrib><title>Safety and efficacy of digital chest drainage units compared to conventional chest drainage units in cardiac surgery</title><title>Interactive cardiovascular and thoracic surgery</title><addtitle>Interact Cardiovasc Thorac Surg</addtitle><description>Abstract
OBJECTIVES
The use of digital chest drainage units (CDUs) has become increasingly common in thoracic surgery due to several advantages. However, in cardiac surgery, its use is still limited in favour of conventional analogue CDUs. In order to investigate the potential benefit of digital CDUs in cardiac surgery, we compared the safety and efficacy of both systems in patients undergoing cardiac surgery at our centre.
METHODS
We retrospectively investigated 265 consecutive patients who underwent cardiac surgery at our institution between June 2017 and October 2017. These patients were divided into 2 groups: patients with analogue (A, n = 65) and digital CDUs (D, n = 200). Postoperative outcome was analysed and compared between both groups. In addition, the ‘user experience’ was evaluated by means of a questionnaire.
RESULTS
The median age of the cohort was 70 years (P = 0.167), 25.3% of patients were female (P = 0.414). There were no differences in terms of re-explorative surgery or use of blood products. Nor was there a difference in the overall amount of fluid collected. However, during the first 6 h, more fluid was collected by the digital CDUs. The overall rate of technical failure was 0.4%. We observed a significantly higher rate of clotting in the tubing system of the digital CDUs (P = 0.042). Concerning the user experience, the digital CDUs were associated with a more favourable ease of use on the regular wards (P < 0.001). With regard to the overall user experience, the digital CDUs outperformed the analogue systems (P = 0.002).
CONCLUSIONS
Digital CDUs can be safely and effectively applied in patients after cardiac surgery. Due to the improved patient mobility and simplified chest tube management, the use of digital CDUs may be advantageous for patients after cardiac surgery. However, the issue of clotting of the tubing systems should be addressed by further technical improvements.</description><subject>Aged</subject><subject>Cardiac Surgical Procedures - methods</subject><subject>Chest Tubes</subject><subject>Drainage - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Care - methods</subject><subject>Prospective Studies</subject><subject>Surveys and Questionnaires</subject><issn>1569-9285</issn><issn>1569-9285</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkDtPwzAURi0EoqUwsiKPLAE7Tpx4RBUvqRID3aMbP4pREgfbqZR_T6DlsSDucr_h6LtXB6FzSq4oEezaym0M13YLQDJxgOY05yIRaZkf_sozdBLCKyFUEEaO0YylaSZKUc5RfAaj44ihU1gbYyXIETuDld3YCA2WLzpErDzYDjYaD52NAUvX9uC1wtFNudvqLlrX_UXbDkvwyoLEYfAb7cdTdGSgCfpsvxdofXe7Xj4kq6f7x-XNKpEs5TExDKaRwGtIFdOU5bQupUlNLiTXZV1IwYssy4UCCjrlos60IlASQ7ksCrZAl7va3ru3Yfqsam2Qummg024IVcpKnmWMCz6hyQ6V3oXgtal6b1vwY0VJ9eG5-vRc7T1P_MW-eqhbrb7pL7E_t93Q_9P1Dlu4jCk</recordid><startdate>20200701</startdate><enddate>20200701</enddate><creator>Saha, Shekhar</creator><creator>Hofmann, Sandra</creator><creator>Jebran, Ahmad Fawad</creator><creator>Waezi, Narges</creator><creator>Kutschka, Ingo</creator><creator>Friedrich, Martin G</creator><creator>Niehaus, Heidi</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-4436-1919</orcidid></search><sort><creationdate>20200701</creationdate><title>Safety and efficacy of digital chest drainage units compared to conventional chest drainage units in cardiac surgery</title><author>Saha, Shekhar ; Hofmann, Sandra ; Jebran, Ahmad Fawad ; Waezi, Narges ; Kutschka, Ingo ; Friedrich, Martin G ; Niehaus, Heidi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-f3aaaaca6ba2d3e1351b8cf2f59c6e8b7c9674459da1ae269b4ed0a80f16c773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Cardiac Surgical Procedures - methods</topic><topic>Chest Tubes</topic><topic>Drainage - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Care - methods</topic><topic>Prospective Studies</topic><topic>Surveys and Questionnaires</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Saha, Shekhar</creatorcontrib><creatorcontrib>Hofmann, Sandra</creatorcontrib><creatorcontrib>Jebran, Ahmad Fawad</creatorcontrib><creatorcontrib>Waezi, Narges</creatorcontrib><creatorcontrib>Kutschka, Ingo</creatorcontrib><creatorcontrib>Friedrich, Martin G</creatorcontrib><creatorcontrib>Niehaus, Heidi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Interactive cardiovascular and thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Saha, Shekhar</au><au>Hofmann, Sandra</au><au>Jebran, Ahmad Fawad</au><au>Waezi, Narges</au><au>Kutschka, Ingo</au><au>Friedrich, Martin G</au><au>Niehaus, Heidi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Safety and efficacy of digital chest drainage units compared to conventional chest drainage units in cardiac surgery</atitle><jtitle>Interactive cardiovascular and thoracic surgery</jtitle><addtitle>Interact Cardiovasc Thorac Surg</addtitle><date>2020-07-01</date><risdate>2020</risdate><volume>31</volume><issue>1</issue><spage>42</spage><epage>47</epage><pages>42-47</pages><issn>1569-9285</issn><eissn>1569-9285</eissn><abstract>Abstract
OBJECTIVES
The use of digital chest drainage units (CDUs) has become increasingly common in thoracic surgery due to several advantages. However, in cardiac surgery, its use is still limited in favour of conventional analogue CDUs. In order to investigate the potential benefit of digital CDUs in cardiac surgery, we compared the safety and efficacy of both systems in patients undergoing cardiac surgery at our centre.
METHODS
We retrospectively investigated 265 consecutive patients who underwent cardiac surgery at our institution between June 2017 and October 2017. These patients were divided into 2 groups: patients with analogue (A, n = 65) and digital CDUs (D, n = 200). Postoperative outcome was analysed and compared between both groups. In addition, the ‘user experience’ was evaluated by means of a questionnaire.
RESULTS
The median age of the cohort was 70 years (P = 0.167), 25.3% of patients were female (P = 0.414). There were no differences in terms of re-explorative surgery or use of blood products. Nor was there a difference in the overall amount of fluid collected. However, during the first 6 h, more fluid was collected by the digital CDUs. The overall rate of technical failure was 0.4%. We observed a significantly higher rate of clotting in the tubing system of the digital CDUs (P = 0.042). Concerning the user experience, the digital CDUs were associated with a more favourable ease of use on the regular wards (P < 0.001). With regard to the overall user experience, the digital CDUs outperformed the analogue systems (P = 0.002).
CONCLUSIONS
Digital CDUs can be safely and effectively applied in patients after cardiac surgery. Due to the improved patient mobility and simplified chest tube management, the use of digital CDUs may be advantageous for patients after cardiac surgery. However, the issue of clotting of the tubing systems should be addressed by further technical improvements.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>32249898</pmid><doi>10.1093/icvts/ivaa049</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-4436-1919</orcidid></addata></record> |
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| subjects | Aged Cardiac Surgical Procedures - methods Chest Tubes Drainage - methods Female Humans Male Middle Aged Postoperative Care - methods Prospective Studies Surveys and Questionnaires |
| title | Safety and efficacy of digital chest drainage units compared to conventional chest drainage units in cardiac surgery |
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