Novel Chest Tube Design to Alleviate Clogging and Facilitate Video-Assisted Thoracoscopic Surgery

In that series, more than 80 per cent of the thrombus formation (assessed at removal) in the CT was seen in the internal portion of the tube (inside the body), making bedside visualization impossible.1 In a survey that included 106 cardiothoracic surgeons, all respondents confirmed encountering prob...

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Bibliographic Details
Published in:The American surgeon 2020-02, Vol.86 (2), p.84-85
Main Authors: Jahromi, Alireza Hamidian, Ballard, David H., Weisman, Jeffery A., D'Agostino, Horacio B.
Format: Article
Language:English
Subjects:
Bleeding
Blood clots
Catheters
Chest Tubes - adverse effects
Clogging
Design
Equipment Design
Health
Heart surgery
Humans
Instrumentation
Medical instruments
Medicine
Patient satisfaction
Plastic surgery
Radiology
Suctioning
Surgeons
Surgery
Thoracic surgery
Thoracic Surgery, Video-Assisted - instrumentation
Thoracic Surgery, Video-Assisted - methods
Thrombosis
Visualization
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Summary:In that series, more than 80 per cent of the thrombus formation (assessed at removal) in the CT was seen in the internal portion of the tube (inside the body), making bedside visualization impossible.1 In a survey that included 106 cardiothoracic surgeons, all respondents confirmed encountering problems with clogged CTs, 87 per cent reported adverse patient outcomes related to a clogged CT, and more than half of the surgeons confirmed not being satisfied with presently available CT designs.2 Clogging of the tube can become life threatening in cases where intrathoracic bleeding will occur, accumulating around the heart and lung, whereas lack of drainage gives the physician a false reassurance. Some believe that the commonly used stripping maneuver to try and declot clogged catheters may introduce negative intrathoracic pressure, leading to increased bleeding events.2 The novel CT design proposed by the authors (Figs. 1 and 2) aims to address issues with clogging by allocating side ports for frequent catheter suctioning and thoracoscopic instrumentation while keeping a sealed continuous suctioning. Alireza Hamidian Jahromi, M.D. Department of Plastic Surgery University of Tennessee Health Science Center Memphis, Tennessee David H. Ballard, M.D. Mallinckrodt Institute of Radiology Washington University School of Medicine St. Louis, Missouri Jeffery A. Weisman, M.D., Ph.D., J.D. University of Illinois at Chicago Occupational Medicine Chicago, Illinois Horacio B. D'Agostino, M.D. Department of Radiology Louisiana State University Health Shreveport Shreveport, Louisiana Address correspondence and reprint requests to Alireza Hamidian Jahromi, M.D., Department of Plastic Surgery, University of Tennessee Health Science Center, 910 Madison Avenue, Room 315, Memphis, TN 38163.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313482008600215