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J Thorac Dis. 2016 Jul;8(7):E503-10. doi: 10.21037/jtd.2016.06.25.

When size matters: changing opinion in the management of pleural space-the rise of small-bore pleural catheters.

Journal of thoracic disease

Pier Luigi Filosso, Alberto Sandri, Francesco Guerrera, Andrea Ferraris, Filippo Marchisio, Giulia Bora, Lorena Costardi, Paolo Solidoro, Enrico Ruffini, Alberto Oliaro

Affiliations

  1. Department of Thoracic Surgery, University of Torino Italy, Corso Dogliotti, 14 10126 Torino, Italy ;
  2. Service of Radiology, University of Torino Italy, Via Genova, 3 10126 Torino, Italy ;
  3. Service of Pulmonology, San Giovanni Battista Hospital, Via Genova, 3 10126 Torino, Italy.

PMID: 27499983 PMCID: PMC4958830 DOI: 10.21037/jtd.2016.06.25

Abstract

Tube thoracostomy is usually the first step to treat several thoracic/pleural conditions such as pneumothorax, pleural effusions, haemothorax, haemo-pneumothorax and empyema. Today, a wide range of drains is available, ranging from small to large bore ones. Indications for an appropriate selection remains yet matter of debate, especially regarding the use of small bore catheters. Through this paper, we aimed to retrace the improvements of drains through the years and to review the current clinical indications for chest drain placement in pleural/thoracic diseases, comparing the effectiveness of small-bore drains vs. large-bore ones.

Keywords: Air leak; chest drain; digital chest drain system; postoperative management; traditional chest drain system

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