Postoperative Outpatient Chest Tube Management: Initial Experience With a New Portable System

Karen M. Rieger, Heather A. Wroblewski, Jo Ann Brooks, Zane T. Hammoud, Kenneth A. Kesler

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Purpose: Prolonged air or fluid chest tube drainage may delay chest tube removal in thoracic surgery patients otherwise ready for discharge. We reviewed 20 months of experience at our institution with postoperative, outpatient chest tube management using a new portable chest tube device. Description: From May 2003 to December 2004, 457 major thoracic procedures were performed at our institution. Besides excessive chest tube output or air leak, 50 patients met the criteria for discharge. There were 36 patients who were discharged with a new portable chest tube system (Express Mini 500; Atrium Medical Corp, Hudson, NH). Patients received written instructions and demonstrated competence on system use. Patients returned for chest tube removal after satisfactory resolution of air leak or fluid drainage. Evaluation: Postoperative outpatient chest tube management accounted for 404 days. There were no major complications. Four patients experienced minor complications. Thirty-two patients (89%) experienced uneventful and successful outpatient chest tube management. Conclusions: These data suggest that successful postoperative outpatient chest tube management can be accomplished in select patients. This program resulted in substantial hospital cost reduction and enhanced patient satisfaction by allowing earlier discharge.

Original languageEnglish (US)
Pages (from-to)630-632
Number of pages3
JournalAnnals of Thoracic Surgery
Volume84
Issue number2
DOIs
StatePublished - Aug 1 2007

Fingerprint

Chest Tubes
Outpatients
Air
Drainage
Hospital Costs
Patient Satisfaction
Mental Competency
Thoracic Surgery
Thorax

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Postoperative Outpatient Chest Tube Management : Initial Experience With a New Portable System. / Rieger, Karen M.; Wroblewski, Heather A.; Brooks, Jo Ann; Hammoud, Zane T.; Kesler, Kenneth A.

In: Annals of Thoracic Surgery, Vol. 84, No. 2, 01.08.2007, p. 630-632.

Research output: Contribution to journalArticle

Rieger, Karen M. ; Wroblewski, Heather A. ; Brooks, Jo Ann ; Hammoud, Zane T. ; Kesler, Kenneth A. / Postoperative Outpatient Chest Tube Management : Initial Experience With a New Portable System. In: Annals of Thoracic Surgery. 2007 ; Vol. 84, No. 2. pp. 630-632.
@article{b935efd5cd3c4d1a808ff6c5b98b7e97,
title = "Postoperative Outpatient Chest Tube Management: Initial Experience With a New Portable System",
abstract = "Purpose: Prolonged air or fluid chest tube drainage may delay chest tube removal in thoracic surgery patients otherwise ready for discharge. We reviewed 20 months of experience at our institution with postoperative, outpatient chest tube management using a new portable chest tube device. Description: From May 2003 to December 2004, 457 major thoracic procedures were performed at our institution. Besides excessive chest tube output or air leak, 50 patients met the criteria for discharge. There were 36 patients who were discharged with a new portable chest tube system (Express Mini 500; Atrium Medical Corp, Hudson, NH). Patients received written instructions and demonstrated competence on system use. Patients returned for chest tube removal after satisfactory resolution of air leak or fluid drainage. Evaluation: Postoperative outpatient chest tube management accounted for 404 days. There were no major complications. Four patients experienced minor complications. Thirty-two patients (89{\%}) experienced uneventful and successful outpatient chest tube management. Conclusions: These data suggest that successful postoperative outpatient chest tube management can be accomplished in select patients. This program resulted in substantial hospital cost reduction and enhanced patient satisfaction by allowing earlier discharge.",
author = "Rieger, {Karen M.} and Wroblewski, {Heather A.} and Brooks, {Jo Ann} and Hammoud, {Zane T.} and Kesler, {Kenneth A.}",
year = "2007",
month = "8",
day = "1",
doi = "10.1016/j.athoracsur.2007.02.059",
language = "English (US)",
volume = "84",
pages = "630--632",
journal = "Annals of Thoracic Surgery",
issn = "0003-4975",
publisher = "Elsevier USA",
number = "2",

}

TY - JOUR

T1 - Postoperative Outpatient Chest Tube Management

T2 - Initial Experience With a New Portable System

AU - Rieger, Karen M.

AU - Wroblewski, Heather A.

AU - Brooks, Jo Ann

AU - Hammoud, Zane T.

AU - Kesler, Kenneth A.

PY - 2007/8/1

Y1 - 2007/8/1

N2 - Purpose: Prolonged air or fluid chest tube drainage may delay chest tube removal in thoracic surgery patients otherwise ready for discharge. We reviewed 20 months of experience at our institution with postoperative, outpatient chest tube management using a new portable chest tube device. Description: From May 2003 to December 2004, 457 major thoracic procedures were performed at our institution. Besides excessive chest tube output or air leak, 50 patients met the criteria for discharge. There were 36 patients who were discharged with a new portable chest tube system (Express Mini 500; Atrium Medical Corp, Hudson, NH). Patients received written instructions and demonstrated competence on system use. Patients returned for chest tube removal after satisfactory resolution of air leak or fluid drainage. Evaluation: Postoperative outpatient chest tube management accounted for 404 days. There were no major complications. Four patients experienced minor complications. Thirty-two patients (89%) experienced uneventful and successful outpatient chest tube management. Conclusions: These data suggest that successful postoperative outpatient chest tube management can be accomplished in select patients. This program resulted in substantial hospital cost reduction and enhanced patient satisfaction by allowing earlier discharge.

AB - Purpose: Prolonged air or fluid chest tube drainage may delay chest tube removal in thoracic surgery patients otherwise ready for discharge. We reviewed 20 months of experience at our institution with postoperative, outpatient chest tube management using a new portable chest tube device. Description: From May 2003 to December 2004, 457 major thoracic procedures were performed at our institution. Besides excessive chest tube output or air leak, 50 patients met the criteria for discharge. There were 36 patients who were discharged with a new portable chest tube system (Express Mini 500; Atrium Medical Corp, Hudson, NH). Patients received written instructions and demonstrated competence on system use. Patients returned for chest tube removal after satisfactory resolution of air leak or fluid drainage. Evaluation: Postoperative outpatient chest tube management accounted for 404 days. There were no major complications. Four patients experienced minor complications. Thirty-two patients (89%) experienced uneventful and successful outpatient chest tube management. Conclusions: These data suggest that successful postoperative outpatient chest tube management can be accomplished in select patients. This program resulted in substantial hospital cost reduction and enhanced patient satisfaction by allowing earlier discharge.

UR - http://www.scopus.com/inward/record.url?scp=34447566024&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34447566024&partnerID=8YFLogxK

U2 - 10.1016/j.athoracsur.2007.02.059

DO - 10.1016/j.athoracsur.2007.02.059

M3 - Article

C2 - 17643647

AN - SCOPUS:34447566024

VL - 84

SP - 630

EP - 632

JO - Annals of Thoracic Surgery

JF - Annals of Thoracic Surgery

SN - 0003-4975

IS - 2

ER -