TY - JOUR
T1 - Superior chest drainage with an active tube clearance system
T2 - Evaluation of a downsized chest tube
AU - Arakawa, Yoko
AU - Shiose, Akira
AU - Takaseya, Tohru
AU - Fumoto, Hideyuki
AU - Kim, Hyun Il
AU - Boyle, Edward M.
AU - Gillinov, A. Marc
AU - Fukamachi, Kiyotaka
N1 - Funding Information:
This work was supported by a grant from the United States Army Telemedicine and Advanced Technologies Research Center (Award No. W81XWH-05-1-0564 ) and a grant from the Global Cardiovascular Innovation Center (Cleveland, OH).
PY - 2011/2
Y1 - 2011/2
N2 - Purpose We developed a small-diameter (20-French [Fr]) chest drainage system that incorporates an active tube clearance (ATC) system, and we evaluated its efficacy in an acute hemothorax model. Description The ATC system includes an internal guidewire that can be advanced into the lumen of the chest tube to keep the tube from clogging. In six pigs, a 20-Fr ATC tube was placed on one side and a 32-Fr standard tube on the other, and 120 mL of fresh blood was infused into each pleural space every 15 minutes for a total of 840 mL. Evaluation The amount of drainage for 2 hours with a 20-Fr ATC tube was significantly greater than that with the 32-Fr standard tube (525 ± 179 mL vs 183 ± 85 mL; p = 0.0032). Conclusions This is the first time a smaller diameter tube has been shown to have better drainage in the setting of acute bleeding compared with larger diameter tubes.
AB - Purpose We developed a small-diameter (20-French [Fr]) chest drainage system that incorporates an active tube clearance (ATC) system, and we evaluated its efficacy in an acute hemothorax model. Description The ATC system includes an internal guidewire that can be advanced into the lumen of the chest tube to keep the tube from clogging. In six pigs, a 20-Fr ATC tube was placed on one side and a 32-Fr standard tube on the other, and 120 mL of fresh blood was infused into each pleural space every 15 minutes for a total of 840 mL. Evaluation The amount of drainage for 2 hours with a 20-Fr ATC tube was significantly greater than that with the 32-Fr standard tube (525 ± 179 mL vs 183 ± 85 mL; p = 0.0032). Conclusions This is the first time a smaller diameter tube has been shown to have better drainage in the setting of acute bleeding compared with larger diameter tubes.
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U2 - 10.1016/j.athoracsur.2010.10.018
DO - 10.1016/j.athoracsur.2010.10.018
M3 - Article
C2 - 21256318
AN - SCOPUS:78751672954
SN - 0003-4975
VL - 91
SP - 580
EP - 583
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 2
ER -