Association Between Chest Tube Removal, Risk of Pleural Effusion, and Opioid Usage
نویسندگان
چکیده
Purpose – There are no established guidelines regarding optimal timing of chest tube removal after cardiac surgery. This decision is often surgeon-specific, with commonly utilized criteria including drainage volume or time We investigated the relationship between volume, removal, and risk post-removal pleural effusion.
 Methods Single-center retrospective study patients who underwent non-emergent surgery via median sternotomy at our institution. Subjects were grouped by output in 24-hours (High [≥200 mL] vs. Low [<200 mL]) 12-hours [≥100 vs [<100 immediately prior to day (Early [≤postoperative 2] Late [>postoperative 2]). Primary secondary outcomes analyzed incidence effusion requiring intervention following opioid analgesic usage respectively. Bivariate multivariate analyses performed.
 Results A total 351 included. 15 developed effusion. 24 12-hour preceding not associated formation (p=0.541 p=0.326, respectively). Postoperative was also (p=0.461). Of effusion, 67% (10/15) female (p=0.010) 47% (7/15) had a history endocarditis (p=0.015). Early (on before postoperative 2) significant decrease when compared (113 morphine milligram equivalents 151 equivalents, p=0.007) without IV drug use.
 Conclusions - Chest an increased use some patients. tubes might provide clinical benefit complications.
منابع مشابه
Parapneumonic pleural effusion. Accidental insertion of a chest tube into right pulmonary artery.
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ژورنال
عنوان ژورنال: Proceedings of IMPRS
سال: 2023
ISSN: ['2641-2470']
DOI: https://doi.org/10.18060/27628