Hostname: page-component-78c5997874-4rdpn Total loading time: 0 Render date: 2024-11-19T17:57:52.716Z Has data issue: false hasContentIssue false
  • English
  • Français

Variability in paediatric cardiac postoperative chest tube management

Part of: Surgery

Published online by Cambridge University Press:  10 September 2018

Anne C. Taylor ,
Katherine E. Bates  and
Alaina K. Kipps
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
Get access Rights & Permissions [Opens in a new window]

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.

Keywords

Chest tubepaediatric cardiothoracic surgeryquality improvement
Type
Brief Report
Information
Cardiology in the Young , Volume 28 , Issue 12 , December 2018 , pp. 1471 - 1474
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: 156–160.Google Scholar
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: 2262–2267.Google Scholar
3. Hessami, MA, Najafi, F, Hatami, S. Volume threshold for chest tube removal: a randomized controlled trial. J Inj Violence Res 2009; 1: 33–36.Google Scholar
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: 269–273.Google Scholar
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: 2161–2164.Google Scholar
6. Cunningham, JP, Knott, EM, Gasior, AC, et al. Is routine chest radiograph necessary after chest tube removal? J Pediatr Surg 2014; 49: 1493–1495.Google Scholar
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: 939–947.Google Scholar
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: 318–328.Google Scholar