Comparison between use of a pleural drainage system with flutter valve and a conventional water-seal drainage system after lung resection: a randomized prospective study
São Paulo med. j
; 142(5): e2023224, 2024. tab, graf
Article
em En
|
LILACS-Express
| LILACS
| ID: biblio-1560555
Biblioteca responsável:
BR1.1
ABSTRACT
ABSTRACT BACKGROUND:
There is still a debate regarding the most appropriate pleural collector model to ensure a short hospital stay and minimum complications.OBJECTIVES:
To study aimed to compare the time of air leak, time to drain removal, and length of hospital stay between a standard water-seal drainage system and a pleural collector system with a unidirectional flutter valve and rigid chamber. DESIGN ANDSETTING:
A randomized prospective clinical trial was conducted at a high-complexity hospital in São Paulo, Brazil.METHODS:
Sixty-three patients who underwent open or video-assisted thoracoscopic lung wedge resection or lobectomy were randomized into two groups, according to the drainage system used the control group (WS), which used a conventional water-seal pleural collector, and the study group (V), which used a flutter valve device (Sinapi® Model XL1000®). Variables related to the drainage system, time of air leak, time to drain removal, and time spent in hospital were compared between the groups.RESULTS:
Most patients (63%) had lung cancer. No differences were observed between the groups in the time of air leak or time spent hospitalized. The time to drain removal was slightly shorter in the V group; however, the difference was not statistically significant. Seven patients presented with surgery-related complications five and two in the WS and V groups, respectively.CONCLUSIONS:
Air leak, time to drain removal, and time spent in the hospital were similar between the groups. The system used in the V group resulted in no adverse events and was safe. REGISTRATION RBR-85qq6jc (https//ensaiosclinicos.gov.br/rg/RBR-85qq6jc).
Texto completo:
1
Base de dados:
LILACS
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article