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water sealed drainage

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https://www.readbyqxmd.com/read/28858113/extraction-of-a-dual-chamber-pacemaker-and-inserting-of-a-new-automatic-implantable-cardioverter-defibrillator-the-easy-procedure-almost-became-catastrophic-a-case-report
#1
Márcio Galindo Kiuchi, Guilherme Miglioli Lobato, Shaojie Chen
BACKGROUND: The cardiovascular illnesses are in the middle of the foremost reasons of death around the world. Deaths in Europe, from sudden cardiac death (SCD), reach nearby 700,000 individuals every year. In the United States, statistics point to the existence of nearly 1 million yearly deaths from cardiovascular sickness, of which 330,000 are the consequence of abrupt. The significance of automatic implantable cardioverter-defibrillator (ICD) has been proven in subjects with preceding myocardial infarction and stark systolic left ventricular dysfunction (secondary prevention)...
September 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28790289/-management-of-chest-drain-after-lung-resection
#2
Satoshi Muto, Hiroyuki Suzuki
The aims of chest drainage after pulmonary resection are to evacuate fluid and air that accumulate in the pleural space and to obtain information on problems such as air leakage and postoperative bleeding. Although suction or water seal drainages are commonly used procedures, the use of digital monitoring system (Thopaz) is gaining popularity as an alternative of the procedures. We need to pay attention to postoperative hemorrhage, chylothorax, infection, and air leakage. Chest X-ray is essential to check the position of the drainage tube and lung expansion...
July 2017: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/28765351/place-atrium-to-water-seal-paws-assessing-wall-suction-versus-no-suction-for-chest-tubes-after-open-heart-surgery
#3
Tamara Kruse, Sharon Wahl, Patricia Finch Guthrie, Sue Sendelbach
BACKGROUND: Traditionally chest tubes are set to -20 cm H2O wall suctioning until removal to facilitate drainage of blood, fluid, and air from the pleural or mediastinal space in patients after open heart surgery. However, no clear evidence supports using wall suction in these patients. Some studies in patients after pulmonary surgery indicate that using chest tubes with a water seal is safer, because this practice decreases duration of chest tube placement and eliminates air leaks. OBJECTIVE: To show that changing chest tubes to a water seal after 12 hours of wall suction (intervention) is a safe alternative to using chest tubes with wall suction until removal of the tubes (usual care) in patients after open heart surgery...
August 2017: Critical Care Nurse
https://www.readbyqxmd.com/read/28707240/elemental-mobility-in-sulfidic-mine-tailings-reclaimed-with-paper-mill-by-products-as-sealing-materials
#4
Yu Jia, Nanna Stahre, Maria Mäkitalo, Christian Maurice, Björn Öhlander
Sealing layers made of two alkaline paper mill by-products, fly ash and green liquor dregs, were placed on top of 50-year-old sulfide-containing tailings as a full-scale remediation approach. The performance and effectiveness of the sealing layers with high water content for an oxygen barrier and low hydraulic conductivity for a sealing layer in preventing the formation of acid rock drainage were evaluated 5 years after the remediation. The leaching behavior of the covered tailings was studied using batch leaching tests (L/S ratio 10 L/kg)...
July 13, 2017: Environmental Science and Pollution Research International
https://www.readbyqxmd.com/read/28610883/the-validation-of-a-no-drain-policy-after-thoracoscopic-major-lung-resection
#5
Junichi Murakami, Kazuhiro Ueda, Toshiki Tanaka, Taiga Kobayashi, Yoshie Kunihiro, Kimikazu Hamano
BACKGROUND: The omission of postoperative chest tube drainage may contribute to early recovery after thoracoscopic major lung resection; however, a validation study is necessary before the dissemination of a selective drain policy. METHODS: A total of 162 patients who underwent thoracoscopic anatomical lung resection for lung tumors were enrolled in this study. Alveolar air leaks were sealed with a combination of bioabsorbable mesh and fibrin glue. The chest tube was removed just after the removal of the tracheal tube in selected patients in whom complete pneumostasis was obtained...
September 2017: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/28591076/is-traditional-closed-thoracic-drainage-necessary-to-treat-pleural-tears-after-posterior-approach-thoracic-spine-surgery
#6
Guo-Li Zheng, Hao Zhou, Xiao-Gang Zhou, Hong Lin, Xi-Lei Li, Jian Dong
STUDY DESIGN: A prospective study OBJECTIVE.: To evaluate the outcomes and efficacy of using a 10Fr elastic tube with a regular negative pressure ball to treat the operative pleural tear in the complicated single-stage posterior approach thoracic spine surgeries. SUMMARY OF BACKGROUND DATA: In some complicated single-stage posterior approach thoracic spine surgeries, like total en bloc spondylectomy, pleural tear is quite inevitable. Traditional chest tube with a water-sealed bottle has many shortcomings, as pain, inconvenience and other complications...
June 6, 2017: Spine
https://www.readbyqxmd.com/read/28273226/parapneumonic-pleural-effusion-reality-and-strategies-in-an-amazon-university-hospital
#7
Claudia Giselle Santos Arêas, Geraldo Roger Normando Júnior, Orlando Sandoval Farias Júnior, Irna Carla DO Rosário Souza Carneiro
OBJECTIVE: to define the profile and analyze the postoperative evolution of children with parapneumonic pleural effusion (PPE), and to evaluate strategies used in the presence of diagnostic and therapeutic limitations, emphasizing the open thoracic drainage (OTD) . METHODS: we conducted a cross-sectional, prospective, analytical study in which we followed children admitted in an Amazon university hospital with surgically addressed PPE, from October 2010 to October 2011...
December 2016: Revista do Colégio Brasileiro de Cirurgiões
https://www.readbyqxmd.com/read/28257624/endotracheal-tubes-and-fluid-aspiration-an-in-vitro-evaluation-of-new-cuff-technologies
#8
Maryanne Z Mariyaselvam, Lucy L Marsh, Sarah Bamford, Ann Smith, Matt P Wise, David W Williams
BACKGROUND: Aspiration of subglottic secretions past the endotracheal tube (ETT) cuff is a prerequisite for developing ventilator-associated pneumonia (VAP). Subglottic secretion drainage (SSD) ETTs reduce aspiration of subglottic secretions and have demonstrated lower VAP rates. We compared the performance of seven SSD ETTs against a non-SSD ETT in preventing aspiration below inflated cuffs. METHODS: ETTs were positioned vertically in 2 cm diameter cylinders. Four ml of a standard microbial suspension was added above inflated cuffs...
March 4, 2017: BMC Anesthesiology
https://www.readbyqxmd.com/read/28199877/characterising-stormwater-gross-pollutants-captured-in-catch-basin-inserts
#9
Md Zahanggir Alam, A H M Faisal Anwar, Dipok Chandra Sarker, Anna Heitz, Craig Rothleitner
The accumulation of wash-off solid waste, termed gross pollutants (GPs), in drainage systems has become a major constraint for best management practices (BMPs) of stormwater. GPs should be captured at source before the material clogs the drainage network, seals the infiltration capacity of side entry pits or affects the aquatic life in receiving waters. BMPs intended to reduce stormwater pollutants include oil and grit separators, grassed swales, vegetated filter strips, retention ponds, and catch basin inserts (CBIs) are used to remove GP at the source and have no extra land use requirement because they are typically mounted within a catch basin (e...
May 15, 2017: Science of the Total Environment
https://www.readbyqxmd.com/read/27358515/epidermal-sutureless-closure-of-the-umbilical-base-following-laparoscopic-colectomy-for-colon-cancer
#10
Susumu Shibasaki, Shigenori Homma, Tadashi Yoshida, Hideki Kawamura, Norihiko Takahashi, Akinobu Taketomi
At our institute, a non-suturing method for closure of the umbilical epidermis has been used in laparoscopic colorectal resection to prevent umbilical wound infection. We performed a retrospective evaluation of the incidence of umbilical wound infection using this technique for patients with colorectal cancer. From 2010 to 2014, 178 consecutive patients underwent elective laparoscopic resection of colorectal cancer. The umbilical fascia was closed using interrupted multifilament absorbable sutures. The skin surface of the umbilicus was compressed using a cotton ball and sealed by water vapor-permeable film...
June 2016: Indian Journal of Surgery
https://www.readbyqxmd.com/read/27234573/digital-drainage-system-reduces-hospitalization-after-video-assisted-thoracoscopic-surgery-lung-resection
#11
Daniel L Miller, Gerald A Helms, William R Mayfield
BACKGROUND: The purpose of this study was to assess the efficacy of a digital versus traditional drainage system on hospitalization for patients undergoing video-assisted thoracoscopic surgery (VATS) anatomic lung resection. METHODS: Consecutive patients who underwent VATS anatomic lung resection (July 2014 through January 2015) for lung cancer were analyzed. Patients were managed with overnight suction (-20 cm H2O) followed by gravity drainage (water seal or -8 cm H2O) in both the traditional and digital drainage systems, respectively; the digital system also allowed for continuous monitoring of air leaks...
September 2016: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/27220920/-drainage-for-subcutaneous-emphysema-after-pulmonary-resection
#12
Yasunobu Funakoshi, Kenichi Ohmori, Shinichi Takeda
Severe subcutaneous emphysema sometimes develops after pulmonary resection. We report our management of ten patients who were treated with subcutaneous Penrose drainage. Water seal test at chest closure showed no air leakage in 5, and a small amount in 5. Chest X-ray at the progression of massive subcutaneous emphysema showed no obvious pneumothorax in 2, and slight apical pneumothorax in 8. Subcutaneous emphysema developed after removal of chest tubes in 6, and before removal in 4. Subcutaneous drains were inserted at the midclavicular line or the side chest in 8, and both in 2...
May 2016: Kyobu Geka. the Japanese Journal of Thoracic Surgery
https://www.readbyqxmd.com/read/27212974/the-efficacy-and-economical-benefits-of-blood-patch-pleurodesis-in-secondary-spontaneous-pneumothorax-patients
#13
Serdar Evman, Levent Alpay, Serda Metin, Hakan Kıral, Mine Demir, Murat Yalçinsoy, Volkan Baysungur, Irfan Yalçinkaya
INTRODUCTION: Prolonged air leak in secondary spontaneous pneumothorax (SSP) patients remains one of the biggest challenges for thoracic surgeons. This study investigates the feasibility, effectiveness, clinical outcomes, and economical benefits of the autologous blood patch pleurodesis method in SSP. MATERIAL AND METHODS: First-episode SSP patients undergoing autologous blood patch pleurodesis for resistant air leak following underwater-seal thoracostomy, between January 2010 and June 2013 were taken into the study...
March 2016: Kardiochirurgia i Torakochirurgia Polska, Polish Journal of Cardio-Thoracic Surgery
https://www.readbyqxmd.com/read/27048219/management-of-chest-drainage-tubes-after-lung-surgery
#14
REVIEW
Yukitoshi Satoh
Since chest tubes have been routinely used to drain the pleural space, particularly after lung surgery, the management of chest tubes is considered to be essential for the thoracic surgeon. The pleural drainage system requires effective drainage, suction, and water-sealing. Another key point of chest tube management is that a water seal is considered to be superior to suction for most air leaks. Nowadays, the most common pleural drainage device attached to the chest tube is the three-bottle system. An electronic chest drainage system has been developed that is effective in standardizing the postoperative management of chest tubes...
June 2016: General Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/26941968/optimizing-postoperative-care-protocols-in-thoracic-surgery-best-evidence-and-new-technology
#15
REVIEW
Daniel G French, Michael Dilena, Simon LaPlante, Farid Shamji, Sudhir Sundaresan, James Villeneuve, Andrew Seely, Donna Maziak, Sebastien Gilbert
Postoperative clinical pathways have been shown to improve postoperative care and decrease length of stay in hospital. In thoracic surgery there is a need to develop chest tube management pathways. This paper considers four aspects of chest tube management: (I) appraising the role of chest X-rays in the management of lung resection patients with chest drains; (II) selecting of a fluid output threshold below which chest tubes can be removed safely; (III) deciding whether suction should be applied to chest tubes; (IV) and selecting the safest method for chest tube removal...
February 2016: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/26916781/thermofusion-of-the-retina-with-the-rpe-to-seal-tears-during-retinal-detachment-repair
#16
Wilson J Heriot
PURPOSE: To develop an animal model to test the hypothesis that immediate adhesion of the retina to the choroid (retinopexy) can be created by elimination of the water separating the retina from the retinal pigment epithelium (RPE) prior to photocoagulation. The retina and RPE are hydrophobic lipoprotein structures separated intraoperatively by a thin layer of fluid despite surgical drainage. If the RPE and retina are contacting, heating should create a unified local coagulum and achieve instantaneous fusing of the retina and RPE, thus sealing the subretinal space around the retinal tear...
April 2016: Graefe's Archive for Clinical and Experimental Ophthalmology
https://www.readbyqxmd.com/read/26421158/spontaneous-oesophageal-rupture-a-diagnostic-challenge-in-resource-limited-setting
#17
Elichilia R Shao, Pantaleo M Joseph, Piet Slootweg, Elifuraha W Mkwizu, Kajiru G Kilonzo, Amos O Mwasamwaja
Spontaneous oesophageal rupture after swallowing a bolus of food is a very rare condition. In resource-limited settings, it is very challenging to diagnose this condition especially when its presentation is atypical. Its prognosis is very poor when diagnosis is delayed due to risk of mediastinitis. We report a case of 37-year-old man who was admitted to our hospital complaining of sudden onset of chest tightness and pain after a meal 8 h prior to admission. Urgent chest radiograph revealed right hydropneumothorax with collapsed lung...
August 2015: Oxford Medical Case Reports
https://www.readbyqxmd.com/read/26409729/randomized-trial-of-digital-versus-analog-pleural-drainage-in-patients-with-or-without-a-pulmonary-air-leak-after-lung-resection
#18
RANDOMIZED CONTROLLED TRIAL
Sebastien Gilbert, Anna L McGuire, Sonam Maghera, Sudhir R Sundaresan, Andrew J Seely, Donna E Maziak, Farid M Shamji, P James Villeneuve
OBJECTIVE: An unclear aspect of digital pleural drainage technology is whether it can benefit all lung resection patients or only those who have a postoperative air leak. The aim of this study was to evaluate the impact of digital pleural drainage on time to chest tube removal and length of hospitalization, taking into consideration postoperative air leak status. METHODS: A single-center, randomized, controlled, open-label, parallel-group trial was conducted. On postoperative day 1, stratification according to air leak status was performed by 2 independent, blinded observers...
November 2015: Journal of Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/26402303/pleural-hypercarbia-after-lung-surgery-is-associated-with-persistent-alveolopleural-fistulae
#19
Ankit Bharat, Nicole Graf, Andrew Mullen, Jacob Kanter, Adin-Cristian Andrei, Peter H S Sporn, Malcolm M DeCamp, Jacob I Sznajder
BACKGROUND: Persistent air leak (PAL) > 5 days due to alveolopleural fistulae is a leading cause of morbidity following surgical resection. Elevated CO2 levels reportedly inhibit alveolar epithelial cell proliferation and impair wound healing in vitro. Because the injured lung surface is in direct communication with the pleural cavity, we investigated whether the pleural gaseous milieu affected lung healing. METHODS: Oxygen and CO2 levels in pleural gas were determined prospectively in consecutive patients (N = 116) undergoing lung resection by using an infrared spectroscopy-based analyzer...
January 2016: Chest
https://www.readbyqxmd.com/read/26352336/adjustable-inspiratory-occlusion-valve-in-experimental-bronchopleural-fistula-a-new-therapeutic-perspective
#20
COMPARATIVE STUDY
Maria Gabriela Cavicchia Toneloto, Marcos Mello Moreira, Joaquim Murray Bustorff-Silva, Gabriel Franco de Souza, Luiz Claudio Martins, Desanka Dragosavac, Antonio Luis Eiras Falcão
PURPOSE: To assess the efficacy of an adjustable inspiratory occlusion valve in experimental bronchopleural fistula during mechanical ventilation. METHODS: We studied six mechanically ventilated pigs in a surgically created, reproducible model of bronchopleural fistula managed with mechanical ventilation and water-sealed thoracic drainage. An adjustable inspiratory occlusion valve was placed between the thoracic drain and the endotracheal tube. Hemodynamic data, capnography and blood gases were recorded before and after the creation of the bronchopleural fistula as well as after every adjustment of the inspiratory occlusion valve...
August 2015: Acta Cirúrgica Brasileira
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