Department of Cardiac Surgery, Medical Faculty, Heinrich Heine University, Dusseldorf, Germany.
Department of Cardiac Surgery, University Hospital Dusseldorf, Moorenstr. 5, 40225, Dusseldorf, Germany.
J Cardiothorac Surg. 2024 Aug 23;19(1):488. doi: 10.1186/s13019-024-02987-2.
Cardiac surgery patients require chest drains for postoperative fluid drainage. Innovations in this field include chemical drain coating and manual clot extraction systems, aiming to provide reduced clotting and improved patient comfort. This study compares outcomes using hydrogel-coated, active clearance and conventional chest drains.
Patients with cardiac surgery at our institution from January 2023 to September 2023 were included. Drain allocation was based on surgeon's choice, with either a combination of hydrogel-coated and conventional, active clearance and conventional, or conventional drains alone. Drain data and clinical outcomes were recorded prospectively.
One hundred seventy-eight patients (62.9 ± 11.7 years, 67.4% male) received a total of 512 chest drains intraoperatively. Hydrogel-coated and active clearance drains showed higher drainage volumes than conventional drains (p < 0.001, respectively). Patency was lowest in conventional drains (36.7% vs. 98.8% for hydrogel-coated, p < 0.001, and vs. 96.6% for active clearance drains, p < 0.001). Conventional drains showed 5.9 times the odds (95% CI 2.0-25.2) of large pleural effusions compared to hydrogel-coated and 12.0 times the odds (95% CI 1.9-504.1) compared to active clearance drains. Patients with hydrogel-coated drains had the shortest length of stay (p < 0.001).
Hydrogel-coated and active clearance drains show improved outcomes compared to conventional drains in cardiac surgery.
心脏手术患者需要胸腔引流管来排出术后液体。该领域的创新包括化学引流涂层和手动血块提取系统，旨在减少凝血并提高患者舒适度。本研究比较了使用水凝胶涂层、主动引流和传统胸腔引流管的结果。
纳入我院 2023 年 1 月至 9 月期间接受心脏手术的患者。引流管的分配基于外科医生的选择，包括水凝胶涂层和传统、主动引流和传统、或单独使用传统引流管的组合。前瞻性记录引流管数据和临床结果。
178 名患者（62.9±11.7 岁，67.4%为男性）共接受了 512 个胸腔引流管的手术内置入。水凝胶涂层和主动引流管的引流量均高于传统引流管（p<0.001）。传统引流管的通畅性最低（36.7% vs. 水凝胶涂层为 98.8%，p<0.001，和主动引流管为 96.6%，p<0.001）。与水凝胶涂层相比，传统引流管发生大量胸腔积液的可能性是其 5.9 倍（95%CI 2.0-25.2），与主动引流管相比则为 12.0 倍（95%CI 1.9-504.1）。使用水凝胶涂层引流管的患者住院时间最短（p<0.001）。
与传统引流管相比，水凝胶涂层和主动引流管在心脏手术中具有更好的效果。
