TY - JOUR

T1 - The Society for Translational Medicine

T2 - clinical practice guidelines for the postoperative management of chest tube for patients undergoing lobectomy

AU - Gao, Shugeng

AU - Zhang, Zhongheng

AU - Aragón, Javier

AU - Brunelli, Alessandro

AU - Cassivi, Stephen

AU - Chai, Ying

AU - Chen, Chang

AU - Chen, Chun

AU - Chen, Gang

AU - Chen, Haiquan

AU - Chen, Jin-Shing

AU - Cooke, David Tom

AU - Downs, John B

AU - Falcoz, Pierre-Emmanuel

AU - Fang, Wentao

AU - Filosso, Pier Luigi

AU - Fu, Xiangning

AU - Force, Seth D

AU - Garutti, Martínez I

AU - Gonzalez-Rivas, Diego

AU - Gossot, Dominique

AU - Hansen, Henrik Jessen

AU - He, Jianxing

AU - He, Jie

AU - Holbek, Bo Laksáfoss

AU - Hu, Jian

AU - Huang, Yunchao

AU - Ibrahim, Mohsen

AU - Imperatori, Andrea

AU - Ismail, Mahmoud

AU - Jiang, Gening

AU - Jiang, Hongjing

AU - Jiang, Zhongmin

AU - Kim, Hyun Koo

AU - Li, Danqing

AU - Li, Gaofeng

AU - Li, Hui

AU - Li, Qiang

AU - Li, Xiaofei

AU - Li, Yin

AU - Li, Zhijun

AU - Lim, Eric

AU - Liu, Chia-Chuan

AU - Liu, Deruo

AU - Liu, Lunxu

AU - Liu, Yongyi

AU - Lobdell, Kevin W

AU - Ma, Haitao

AU - Petersen, René H

AU - Zhao, Xuewei

AU - Zhi, Xiuyi

AU - Zhou, Qinghua

AU - et al.

PY - 2017/9

Y1 - 2017/9

N2 - 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).

AB - 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).

U2 - 10.21037/jtd.2017.08.165

DO - 10.21037/jtd.2017.08.165

M3 - Review

C2 - 29221303

VL - 9

SP - 3255

EP - 3264

JO - Journal of Thoracic Disease

JF - Journal of Thoracic Disease

SN - 2072-1439

IS - 9

ER -