Digital Air Leak Monitoring (Jcvs 2010)
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Digital Air Leak Monitoring (Jcvs 2010) - 1

DIGITAL AIR LEAK MONITORING AFTER LOBECTOMY FOR PRIMARY LUNG CANCER IN PATIENTS WITH MODERATE COPD: DOES A FAST-TRACKING ALGORITHM CAN REDUCE POSTOPERATIVE COSTS AND COMPLICATIONS? P. L. FILOSSO, E. RUFFINI, P. SOLIDORO, M. MOLINATTI, M. C. BRUNA, A. OLIARO MINERVA MEDICA

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Digital Air Leak Monitoring (Jcvs 2010) - 2

J CARDIOVASC SURG 2010;51 Digital air leak monitoring after lobectomy for primary lung cancer in patients with moderate COPD: does a fast-tracking algorithm can reduce postoperative costs and complications? P. L. FILOSSO 1, E. RUFFINI 1, P. SOLIDORO 2, M. MOLINATTI 1, M. C. BRUNA 1, A. OLIARO 1 Aim. Prolonged air leaks remain one of the most important complication after pulmonary resection. The aim of this study was to test a new fast-track chest tube removal protocol using a new drainage system, which digitally records postoperative air leaks, compared to the traditional one, with...

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Digital Air Leak Monitoring (Jcvs 2010) - 3

DIGITAL AIR LEAK MONITORING AFTER LOBECTOMY FOR PRIMARY LUNG CANCER IN PATIENTS WITH MODERATE COPD Department of Thoracic Surgery of the University of Turin (Italy) between January 1st and April 30th 2010 were prospectively enrolled in the study. An overall of 31 patients were randomized in two groups. Moderate COPD was defined when Tiffeneau is <70% and forced expiratory volume in 1 second per- centage (FEVj^o) is between 50% and 70% of theoric There were 15 patients (10 males, mean age 68.66±3.53 years, range 63-75 years) in which a new chest drainage system with a digital continuous air...

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Digital Air Leak Monitoring (Jcvs 2010) - 4

DIGITAL AIR LEAK MONITORING AFTER LOBECTOMY FOR PRIMARY LUNG CANCER IN PATIENTS WITH MODERATE COPD 16 10 14 9 8 No. of patients No. of patients 12 10 8 6 4 0 5 4 3 1 2 3 4 Traditional chest drainage system 2 3 4 REDAX drainage system Figure 1.—First drainage removal day. 9 8 7 6 5 4 3 2 1 6 3 4 5 Traditional chest drainage system 3 4 5 6 REDAX drainage system Figure 2.—Second drainage removal day. of stay and overall hospitalization costs (expressed in euro €). One day hospital recovery cost in our Unit is about 1 000.00 €. Numerical variables between the two groups of patients were...

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Digital Air Leak Monitoring (Jcvs 2010) - 5

FILOSSO DIGITAL AIR LEAK MONITORING AFTER LOBECTOMY FOR PRIMARY LUNG CANCER IN PATIENTS WITH MODERATE COPD 10 9 8 No. of patients 7 6 5 4 3 2 Traditional chest drainage system 13000 12500 12000 11500 11000 10500 10000 9500 9000 8500 8000 7500 7000 6500 6000 5500 5000 13000 12500 12000 11500 11000 10500 9500 10000 9000 8500 8000 7500 7000 6500 6000 5500 0 5000 1 REDAX drainage system Figure 4.—Overall hospitalization costs (data are expressed in Euro). Discussion The assessment of patients’ clinical indicators is nowadays regularly done by the digital technology. Many values bedside or in...

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Digital Air Leak Monitoring (Jcvs 2010) - 6

DIGITAL AIR LEAK MONITORING AFTER LOBECTOMY FOR PRIMARY LUNG CANCER IN PATIENTS WITH MODERATE COPD This new drainage system is not connected to the wall suction port, but there is an electronic portable pump that supports a constant negative pressure which can be regulated from -10 cmH2O to -25 cmH2O. A computed keyboard continuously digitally records air leaks. The air leak values bedside recording is very easy both for the surgeons and the nurses, during the morning or afternoon round, using a computer or simply reading them on the drainage pump’s keyboard. The drainage system is moreover...

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