The rate of pleural fluid drainage as a criterion for the timing of chest tube removal: Theoretical and practical considerations

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Clinicians place chest tubes approximately 1 million times each year in the United States, but little information is available to guide their management. Specifically, use of the rate of pleural fluid drainage as a criterion for tube removal is not standardized. Absent such tubes, pleural fluid drains primarily through parietal pleural lymphatics at rates approaching 500 mL of fluid per day or more for each hemithorax. Early removal of tubes does not appear to be harmful. A noninferiority randomized trial currently in progress comparing removal without considering the drainage rate to a conservative threshold (2 mL/kg body weight in 24 hours) may better inform tube management.

Original languageEnglish (US)
Pages (from-to)2262-2267
Number of pages6
JournalAnnals of Thoracic Surgery
Volume96
Issue number6
DOIs
StatePublished - Dec 2013

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery
  • Pulmonary and Respiratory Medicine
  • Medicine(all)

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