![]() In 1968, Henry Heimlich idealized a device in order to replace water-seal drainage systems, which was initially used in the treatment of American soldiers with thoracic trauma during the Vietnam War. We must emphasize the fact that using this method in a prehospital environment is inappropriate, because it is not only difficult to keep the flask below the patient, but it is also necessary to perform frequent clamping inside the limited space of an ambulance.(7) However, using these flasks might cause risks, disadvantages and inconveniences for patients: they are heavy and large they restrict the mobility of patients(3,4) frequent clamping performed during transport might cause pulmonary collapse and formation of clots,(3,5) as well as hypertensive pneumothorax the placement of the flask, always kept in a level below the thorax of the patient, facilitates the disconnection of one of the connections(3) and the bubbling inside the flask, when connected to continuous suction, causes an unpleasant sound.(6) This system is efficient, safe and affordable. Most surgeons use water-seal drainage with or without continuous suction in the postoperative period following elective lung resection. The use of this system in the postoperative period following thoracic surgery was described and disseminated by Lilienthal in 1922.(2) This is known as a water-seal drainage system. The conventional system of pleural drainage currently in use in the treatment of pleural diseases and in the postoperative period following thoracic surgery is the same as that described by Kenyon in 1916.(1) This method consists of inserting the distal extremity of the tube into a liquid column, contained inside a flask, whose cap has two openings: one for the passage of the drainage tube and one for ventilation (air vent). Conclusões: A utilização da VUT no pós-operatórioĭe ressecção pulmonar eletiva foi eficiente, bem tolerada e apresentou baixo índice de complicação.ĭrenagem Complicações pós-operatórias Cirurgia torácica.Īfter any surgical procedure involving the opening of the pleura, the thoracic cavity must be drained in order to facilitate adequate pulmonary reexpansion and allow the outflow of blood, fluids and air. (22,4%) casos de complicações pós-operatórias, sendo três (8,4%) relacionadas à VUT. Radiografia de tórax, realizado após 30 dias do procedimento cirúrgico foi considerado normal em 34 (95,2%) pacientes. A média de permanência com o sistema de drenagem pleural foi de 3,0 ± 1,6 dias. Resultados: Neste estudo,įoram incluídos e analisados 36 pacientes. Tempo de permanência com o sistema de drenagem, o período de internação e as complicações pós-operatórias. Pacientes que utilizaram o sistema de frasco em selo d'água como método inicial de drenagem pleural. ![]() Idade inferior a 12 anos, os submetidos à pneumectomia ou a operação de urgência, os que não completaram o seguimento do estudo e os Unidirecional de tórax (VUT) como o método de drenagem pleural durante o período pós-operatório. Métodos: Foram realizadas 39 ressecções pulmonares, de forma prospectiva e com análise descritiva, em pacientes que utilizaram a válvula Objetivo: Avaliar a drenagem pleural através de válvula unidirecional de tórax no pós-operatório de ressecção pulmonar eletiva. Was well tolerated and presented a low rate of complications.ĭrainage Postoperative complications Thoracic surgery. Conclusions: The use of a one-way flutter valve following elective lung resection was effective, To the drainage system in 3 (8.4%) of those. Postoperative complications occurred in 8 patients (22.4%) and were related X-ray results were considered normal for 34 patients (95.2%). ![]() At 30 days after the surgical procedure, chest The mean duration of pleural drainage was 3.0 ± 1.6 days. Lung expansion, duration of the drainage, hospital stay and postoperative complications were noted. Those who were considered lost to follow-up and those in whom water-seal drainage was used as the initial method of pleural drainage. Patients less than 12 years of age were excluded, as were those submitted to pneumonectomy or emergency surgery, Study, with descriptive analysis, of 39 lung resections performed using a one-way flutter valve to achieve pleural drainage during the Objective: To evaluate pleural drainage using a one-way flutter valve following elective lung resection. ![]()
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