Safety of the removal of pericardial and mediastinal drain within a different drainage volume after cardiac valvular replacement surgery: A case control study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

ZHANG Tailong ,  WU Zhong , QIN Xiaoli , GU Jun

Department of Cardiovascular Surgery, West China Hospital, Sichuan University, Chengdu, 610041, P.R.China;

Corresponding author：

WU Zhong, Email: wuzhong71@163.com

Keywords：

Valvular surgery; pericardial and mediastinal drainage; drain removal

DOI：

10.7507/1007-4848.201804013

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To assess the safety of the removal of pericardial and mediastinal drain within different drainage volume after cardiac valvular replacement surgery.Methods Between July 2013 and July 2017, 201 patients with rheumatic heart disease (CHD) were treated with valve replacement in our hospital, including 57 males and 144 females, aged 15 to 72 years. They were divided into two groups according to the amount of 24-h drainage before the drain removal: a group one with 24-h drainage volume≤50 ml (n=127) and a group two with 24-h drainage volume>50 ml (n=74). The postoperative hospital stay and the incidence of severe complications between the two groups were compared.Results There was no difference between the two groups in the baseline information or the incidence of severe pericardial effusion and tamponade, while the group two tended to have a shorter length of hospital stay after surgery (8.0 d vs. 7.5 d, P=0.013).Conclusion In CHD patients undergoing valvular surgery, compared with a relatively low amount of drainage before the drain removal, drawing the tube at a greater amount of drainage (24-h drainage volume>50 ml) will shorten the length of hospital stay after cardiac surgery while incidence of severe complications remains the same.

Citation： ZHANG Tailong, WU Zhong, QIN Xiaoli, GU Jun. Safety of the removal of pericardial and mediastinal drain within a different drainage volume after cardiac valvular replacement surgery: A case control study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(1): 63-66. doi: 10.7507/1007-4848.201804013 Copy

1.	Adler Y, Charron P, Imazio M, et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC) Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J, 2015, 36(42): 2921-2964.
2.	Angelini GD, Penny WJ, el-Ghamary F, et al. The incidence and significance of early pericardial effusion after open heart surgery. Eur J Cardiothorac Surg, 1987, 1(3): 165-168.
3.	Ege T, Tatli E, Canbaz S, et al. The importance of intrapericardial drain selection in cardiac surgery. Chest, 2004, 126(5): 1559-1562.
4.	马丹, 杨梅, 樊骏, 等. 胸腔镜肺叶切除术后引流管管径对患者舒适度影响的前瞻性队列研究. 中国胸心血管外科临床杂志, 2015, 22(10): 928-931.
5.	Mueller XM, Tinguely F, Tevaearai HT, et al. Impact of duration of chest tube drainage on pain after cardiac surgery. Eur J Cardiothorac Surg, 2000, 18(5): 570-574.
6.	Alec V, Ottavio A, Felicita A, et al. Guidelines on the management of valvular heart disease (version 2012). Eur Heart J, 2012, 33(19): 2451-2496.
7.	Mirmohammad-Sadeghi M, Pourazari P, Akbari M. Comparison consequences of Jackson-Pratt drain versus chest tube after coronary artery bypass grafting: A randomized controlled clinical trial. J Res Med Sci, 2017, 22: 134.
8.	Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after Surgery: A review. JAMA Surg, 2017, 152(3): 292-298.
9.	Moss E, Miller CS, Jensen H, et al. A randomized trial of early versus delayed mediastinal drain removal after cardiac surgery using silastic and conventional tubes. Interact Cardiovasc Thorac Surg, 2013, 17(1): 110-115.
10.	车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
11.	中华医学会肠外肠内营养学分会加速康复外科写作组. 结直肠手术应用加速康复外科中国专家共识(2015版). 中国实用外科杂志, 2015, 35(8): 841-843.
12.	Engelman RM, Rousou JA, Flack JE 3rd, et al. Fast-track recovery of the coronary bypass patient. Ann Thorac Surg, 1994, 58(6): 1742-1746.
13.	Krzych Ł, Kucewicz-Czech E. It is time for enhanced recovery after surgery in cardiac surgery. Kardiol Pol, 2017, 75(5): 415-420.
14.	Li M, Zhang J, Gan TJ, et al. Enhanced recovery after surgery pathway for patients undergoing cardiac surgery: a randomized clinical trial. Eur J Cardiothorac Surg, 2018, [Epub ahead of print].
15.	Gercekoglu H, Aydin NB, Dagdeviren B, et al. Effect of timing of chest tube removal on development of pericardial effusion following cardiac surgery. J Card Surg, 2003, 18(3): 217-224.

1. Adler Y, Charron P, Imazio M, et al. 2015 ESC Guidelines for the diagnosis and management of pericardial diseases: The Task Force for the Diagnosis and Management of Pericardial Diseases of the European Society of Cardiology (ESC) Endorsed by: The European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J, 2015, 36(42): 2921-2964.
2. Angelini GD, Penny WJ, el-Ghamary F, et al. The incidence and significance of early pericardial effusion after open heart surgery. Eur J Cardiothorac Surg, 1987, 1(3): 165-168.
3. Ege T, Tatli E, Canbaz S, et al. The importance of intrapericardial drain selection in cardiac surgery. Chest, 2004, 126(5): 1559-1562.
4. 马丹, 杨梅, 樊骏, 等. 胸腔镜肺叶切除术后引流管管径对患者舒适度影响的前瞻性队列研究. 中国胸心血管外科临床杂志, 2015, 22(10): 928-931.
5. Mueller XM, Tinguely F, Tevaearai HT, et al. Impact of duration of chest tube drainage on pain after cardiac surgery. Eur J Cardiothorac Surg, 2000, 18(5): 570-574.
6. Alec V, Ottavio A, Felicita A, et al. Guidelines on the management of valvular heart disease (version 2012). Eur Heart J, 2012, 33(19): 2451-2496.
7. Mirmohammad-Sadeghi M, Pourazari P, Akbari M. Comparison consequences of Jackson-Pratt drain versus chest tube after coronary artery bypass grafting: A randomized controlled clinical trial. J Res Med Sci, 2017, 22: 134.
8. Ljungqvist O, Scott M, Fearon KC. Enhanced recovery after Surgery: A review. JAMA Surg, 2017, 152(3): 292-298.
9. Moss E, Miller CS, Jensen H, et al. A randomized trial of early versus delayed mediastinal drain removal after cardiac surgery using silastic and conventional tubes. Interact Cardiovasc Thorac Surg, 2013, 17(1): 110-115.
10. 车国卫, 李为民, 刘伦旭. 快速肺康复需要围手术期流程优化. 中国胸心血管外科临床杂志, 2016, 23(3): 216-220.
11. 中华医学会肠外肠内营养学分会加速康复外科写作组. 结直肠手术应用加速康复外科中国专家共识(2015版). 中国实用外科杂志, 2015, 35(8): 841-843.
12. Engelman RM, Rousou JA, Flack JE 3rd, et al. Fast-track recovery of the coronary bypass patient. Ann Thorac Surg, 1994, 58(6): 1742-1746.
13. Krzych Ł, Kucewicz-Czech E. It is time for enhanced recovery after surgery in cardiac surgery. Kardiol Pol, 2017, 75(5): 415-420.
14. Li M, Zhang J, Gan TJ, et al. Enhanced recovery after surgery pathway for patients undergoing cardiac surgery: a randomized clinical trial. Eur J Cardiothorac Surg, 2018, [Epub ahead of print].
15. Gercekoglu H, Aydin NB, Dagdeviren B, et al. Effect of timing of chest tube removal on development of pericardial effusion following cardiac surgery. J Card Surg, 2003, 18(3): 217-224.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Safety of the removal of pericardial and mediastinal drain within a different drainage volume after cardiac valvular replacement surgery: A case control study

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content