Skip to main content Accessibility help
×
Home
Hostname: page-component-768ffcd9cc-b9rrs Total loading time: 0.255 Render date: 2022-12-05T15:56:17.788Z Has data issue: true Feature Flags: { "useRatesEcommerce": false } hasContentIssue true

Variability in paediatric cardiac postoperative chest tube management

Part of: Surgery

Published online by Cambridge University Press:  10 September 2018

Anne C. Taylor
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Stanford University School of Medicine, Lucile Packard Children’s Hospital at Stanford, Palo Alto, CA, USA
Katherine E. Bates
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, University of Michigan School of Medicine, C.S. Mott Children’s Hospital, Ann Arbor, MI, USA
Alaina K. Kipps*
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Stanford University School of Medicine, Lucile Packard Children’s Hospital at Stanford, Palo Alto, CA, USA
*
Author for correspondence: A. K. Kipps, MD, MS, Clinical Assistant Professor of Pediatrics, Division of Pediatric Cardiology, Stanford School of Medicine, 750 Welch Rd #325, Palo Alto, CA 94304, USA. Tel: +650 498 2699; Fax: +650 725 8343; E-mail: akipps@stanford.edu

Abstract

Limited evidence exists to guide chest tube management following cardiac surgery in children. We assessed chest tube practice variation by surveying paediatric heart centres to prepare for a multi-site quality improvement project. We summarised management strategies highlighting variability in criteria for chest tube removal between and within centres. This lack of standardisation provides an opportunity for quality improvement.

Type
Brief Report
Copyright
© Cambridge University Press 2018 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Charnock, Y, Evans, D. Nursing management of chest drains: a systematic review. Aust Crit Care 2001; 14: 156160.CrossRefGoogle ScholarPubMed
2. Utter, GH. The rate of pleural fluid drainage as a criterion for the timing of chest tube removal: theoretical and practical considerations. Ann Thorac Surg 2013; 96: 22622267.CrossRefGoogle ScholarPubMed
3. Hessami, MA, Najafi, F, Hatami, S. Volume threshold for chest tube removal: a randomized controlled trial. J Inj Violence Res 2009; 1: 3336.CrossRefGoogle ScholarPubMed
4. Cerfolio, RJ, Bryant, AS. Results of a prospective algorithm to remove chest tubes after pulmonary resection with high output. J Thorac Cardiovasc Surg 2008; 135: 269273.CrossRefGoogle ScholarPubMed
5. McCormick, JT, O’Mara, MS, Papasavas, PK, Caushaj, PF. The use of routine chest X-ray films after chest tube removal in postoperative cardiac patients. Ann Thorac Surg 2002; 74: 21612164.CrossRefGoogle ScholarPubMed
6. Cunningham, JP, Knott, EM, Gasior, AC, et al. Is routine chest radiograph necessary after chest tube removal? J Pediatr Surg 2014; 49: 14931495.CrossRefGoogle ScholarPubMed
7. Mahle, WT, Nicolson, SC, Hollenbeck-Pringle, D, et al. Utilizing a collaborative learning model to promote early extubation following infant heart surgery. Pediatr Crit Care Med 2016; 17: 939947.CrossRefGoogle ScholarPubMed
8. Kugler, JD, Beekman Iii, RH, Rosenthal, GL, et al. Development of a pediatric cardiology quality improvement collaborative: from inception to implementation. From the Joint Council on Congenital Heart Disease Quality Improvement Task Force. Congenit Heart Dis 2009; 4: 318328.CrossRefGoogle ScholarPubMed
4
Cited by

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Variability in paediatric cardiac postoperative chest tube management
Available formats
×

Save article to Dropbox

To save this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Dropbox account. Find out more about saving content to Dropbox.

Variability in paediatric cardiac postoperative chest tube management
Available formats
×

Save article to Google Drive

To save this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you used this feature, you will be asked to authorise Cambridge Core to connect with your Google Drive account. Find out more about saving content to Google Drive.

Variability in paediatric cardiac postoperative chest tube management
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *