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http://doi.org/10.25358/openscience-7654Full metadata record
| DC Field | Value | Language |
|---|---|---|
| dc.contributor.author | Stamenovic, Davor | - |
| dc.contributor.author | Dusmet, Michael | - |
| dc.contributor.author | Schneider, Thomas | - |
| dc.contributor.author | Roessner, Eric | - |
| dc.contributor.author | Messerschmidt, Antje | - |
| dc.date.accessioned | 2022-09-01T09:22:38Z | - |
| dc.date.available | 2022-09-01T09:22:38Z | - |
| dc.date.issued | 2022 | - |
| dc.identifier.uri | https://openscience.ub.uni-mainz.de/handle/20.500.12030/7668 | - |
| dc.description.abstract | Background The pleural space can resorb 0.11–0.36 ml/kg of body weight/hour (h) per hemithorax. There are only a limited number of studies on thresholds for chest drain removal (CDR) and all are based on arbitrary amounts, for example, 300 ml/day. We studied an individualized size-based threshold for CDR–specifically 5 ml/kg, a simple, easily applicable measure. Methods This is a single-center prospective randomized trial enrolling 80 patients undergoing VATS lobectomy. There were two groups: an experimental (E) group, in which once the daily output went down to 5 ml/kg the chest drain was removed and a control (C) group, with chest drain removal as per our current practice of less than 250 ml/day. Results The groups did not differ in pre- and peri- and postoperative characteristics, except for chest drain duration (mean, SD 2.02 ± 0.97 vs. 3.25 ± 1.39 days, p < 0.001) and length of hospital stay (median, IQR 4.5; 3 vs. 6; 2.75 days, p = 0.008) in favor of E group. The re-intervention rate was the same in both groups (once in each group). Conclusion The new threshold for chest drain removal following thoracoscopic lobectomy of 5 ml/kg/d leads to both shorter chest drainage and hospital stay without apparent increase in morbidity. (Clinical registration number: DRKS00014252). | en_GB |
| dc.language.iso | eng | de |
| dc.rights | CC BY | * |
| dc.rights.uri | https://creativecommons.org/licenses/by/4.0/ | * |
| dc.subject.ddc | 610 Medizin | de_DE |
| dc.subject.ddc | 610 Medical sciences | en_GB |
| dc.title | A simple size-tailored algorithm for the removal of chest drain following minimally invasive lobectomy : a prospective randomized study | en_GB |
| dc.type | Zeitschriftenaufsatz | de |
| dc.identifier.doi | http://doi.org/10.25358/openscience-7654 | - |
| jgu.type.dinitype | article | en_GB |
| jgu.type.version | Published version | de |
| jgu.type.resource | Text | de |
| jgu.organisation.department | FB 04 Medizin | de |
| jgu.organisation.number | 2700 | - |
| jgu.organisation.name | Johannes Gutenberg-Universität Mainz | - |
| jgu.rights.accessrights | openAccess | - |
| jgu.journal.title | Surgical endoscopy and other interventional techniques | de |
| jgu.journal.volume | 36 | de |
| jgu.pages.start | 5275 | de |
| jgu.pages.end | 5281 | de |
| jgu.publisher.year | 2022 | - |
| jgu.publisher.name | Springer | de |
| jgu.publisher.place | New York, NY | de |
| jgu.publisher.issn | 1432-2218 | de |
| jgu.organisation.place | Mainz | - |
| jgu.subject.ddccode | 610 | de |
| jgu.publisher.doi | 10.1007/s00464-021-08905-0 | de |
| jgu.organisation.ror | https://ror.org/023b0x485 | - |
| Appears in collections: | JGU-Publikationen | |
Files in This Item:
| File | Description | Size | Format | ||
|---|---|---|---|---|---|
 | a_simple_sizetailored_algorit-20220829143423743.pdf | 1.09 MB | Adobe PDF | View/Open |