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Efficacy of a 14Fr Blake Drain for Pleural Drainage Following Video-Assisted Thoracic Surgery  

Choi, Jinwook (Department of Thoracic and Cardiovascular Surgery, Ajou Universitiy Hosipital, Ajou University College of Medicine)
Choi, Ho (Department of Thoracic and Cardiovascular Surgery, Ajou Universitiy Hosipital, Ajou University College of Medicine)
Lee, Sungsoo (Department of Thoracic and Cardiovascular Surgery, Ajou Universitiy Hosipital, Ajou University College of Medicine)
Moon, Jonghwan (Department of Thoracic and Cardiovascular Surgery, Ajou Universitiy Hosipital, Ajou University College of Medicine)
Kim, Jongseok (Department of Thoracic and Cardiovascular Surgery, Ajou Universitiy Hosipital, Ajou University College of Medicine)
Chung, Sangho (Department of Thoracic and Cardiovascular Surgery, Ajou Universitiy Hosipital, Ajou University College of Medicine)
An, Hyoungwook (Department of Thoracic and Cardiovascular Surgery, Ajou Universitiy Hosipital, Ajou University College of Medicine)
Publication Information
Journal of Chest Surgery / v.42, no.1, 2009 , pp. 59-62 More about this Journal
Abstract
Background: Pleural drainage following video-assisted thoracic surgery has traditionally been achieved with largebore, semi-rigid chest tubes. Recent trends in thoracic surgery have been toward less invasive approaches for a variety of diseases. The purpose of this study was to evaluate the safety and efficacy of drainage by means of small, soft, and flexible 14Fr Blake drains. Material and Method: Between December 2007 and March 2008, 14Fr silastic Blake drains were used for drainage of the pleural cavity in 37 patients who underwent a variety of video-assisted thoracic surgical procedures at our institution. Result: The average postoperative length of hospital stay was 3.26 days (range, 2~12 days), Blake drains were left in the pleural space for an average of 3.15 days (range, 1~7 days), and the average amount of drainage was 43.8 ml/day. The maximal amount of blood removed daily by a Brake drain was as much as 290 mL. There were no drain-related complications. Blake drains seemed to cause less pain while in place, and particularly at the time of removal. Conclusion: The use of a Blake drain following minor thoracic surgery appeared to be safe and effective in drainage of fluid or air in the pleural space, and were associated with minimal discomfort.
Keywords
Video-assisted thoracic surgery (VATS); Catheter; Drainage;
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