Comparison of Chest Tube Insertion Function in Mid Line and Anterior Axillary Positions after Coronary Artery Bypass Graft Surgery in the Prevention of Pleural Effusion

Document Type : Original Article (s)

Authors

1 Cardiac Surgery Specialist, Assistant Professor, Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Student of Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Pleural effusion is one of the complications after coronary artery bypass graft (CABG) which the use of chest tube has been proposed to prevent it. In this study, we compared the performance of Chest tube insertion in the midline and anterior axillary after CABG surgery to prevent the occurrence of pleural effusion.
Methods: This retrospective study was conducted on 99 patients who underwent CABG in 2015-2016, and after the operation, a chest tube was inserted in one of the two methods of placement in the chest midline or in the anterior axillary line. Age, gender, pump duration, surgery duration, number of grafts, occurrence of pleural effusion and amount of drained blood were recorded from the files of these patients and compared between the two methods.
Findings: There was no significant difference between the two groups regarding the volume of drainage from the chest tube and the duration of surgery. The frequency of pleural effusion in the Midline group was 14% and in the anterior axillary group was 14.3%, which did not significant different between the two groups based on the frequency of pleural effusion.
Conclusion: Both methods of insertion of chest tube in midline and anterior axillary are two effective methods for preventing pleural effusion after CABG surgery.

Keywords

References

  1. Bos-Touwen I, Schuurmans M, Monninkhof EM, Korpershoek Y, Spruit-Bentvelzen L, Ertugrul-van der Graaf I, et al. Patient and disease characteristics associated with activation for self-management in patients with diabetes, chronic obstructive pulmonary disease, chronic heart failure and chronic renal disease: a cross-sectional survey study. PloS One 2015; 10(5): e0126400.
  2. Dawber TR, Moore FE, Mann GV. II. Coronary heart disease in the Framingham study. Am J Public Health Nations Health 1957; 47(4 Pt 2): 4-24.
  3. van Diepen S, Fuster V, Verma S, Hamza TH, Siami FS, Goodman SG, et al. Dual antiplatelet therapy versus aspirin monotherapy in diabetics with multivessel disease undergoing CABG: FREEDOM insights. J Am Coll Cardiol 2017; 69(2): 119-27.
  4. Biancari F, Ruggieri VG, Perrotti A, Svenarud P, Dalén M, Onorati F, et al. European multicenter study on coronary artery bypass grafting (E-CABG registry): study protocol for a prospective clinical registry and proposal of classification of postoperative complications. J Cardiothorac Surg 2015; 10: 90.
  5. Moazzami K, Dolmatova E, Maher J, Gerula C, Sambol J, Klapholz M, et al. In-hospital outcomes and complications of coronary artery bypass grafting in the United States between 2008 and 2012. J Cardiothorac Vasc Anesth 2017; 31(1): 19-25.
  6. Hasanzadeh F, Kashouk NM, Amini S, Asili J, Emami SA, Vashani HB, et al. The effect of cold application and lavender oil inhalation in cardiac surgery patients undergoing chest tube removal. EXCLI |J 2016; 15: 64-74.
  7. Benns MV, Egger ME, Harbrecht BG, Franklin GA,
    Smith JW, Miller KR, et al. Does chest tube location matter? An analysis of chest tube position and the need for secondary interventions. J Trauma Acute Care Surg 2015; 78(2): 386-90.
  8. Zardo P, Busk H, Kutschka I. Chest tube management: state of the art. Curr Opin Anaesthesiol 2015; 28(1): 45-9.
  9. Guden M, Korkmaz AA, Onan B, Onan IS, Tarakci SI, Fidan F. Subxiphoid versus intercostal chest tubes: comparison of postoperative pain and pulmonary morbidities after coronary artery bypass grafting. Tex Heart Inst J 2012; 39(4): 507-12.
  10. Hagl C, Harringer W, Gohrbandt B, Haverich A. Site of pleural drain insertion and early postoperative pulmonary function following coronary artery bypass grafting with internal mammary artery. Chest 1999; 115(3): 757-61.
  11. Lancey RA, Gaca C, Vander Salm TJ. The use of smaller, more flexible chest drains following open heart surgery: an initial evaluation. Chest 2001; 119(1): 19-24.
  12. Jauregui A, Deu M, Persiva O. Pulmonary artery perforation after chest tube insertion. Arch Bronconeumol 2016; 52(11): 568-9.
  13. Kesieme EB, Dongo A, Ezemba N, Irekpita E, Jebbin N, Kesieme C. Tube thoracostomy: complications and its management. Pulm Med 2012; 2012: 256878.
Journal of Isfahan Medical School
Volume 41, Issue 723
3rd Week, August
July and August 2023
Pages 459-463

Files

History

  • Receive Date: 16 November 2021
  • Accept Date: 07 August 2023

Share

How to cite

Statistics