RIGHT PLEURAL VERSUS MEDIASTINAL DRAINAGE FOLLOWING ELECTIVE OFF-PUMP CORONARY ARTERY BYPASS

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FOROUZAN NIA SEYED KHALIL; MIRHOSSEINI SEYED JALIL; MOSHTAGHION SEYED HOSSEIN; ABDOLLAHI MOHAMMAD HASSAN; HOSSEINI HABIBOLAH; DEHGHANIZADEH HAMZEH; BANI FATEME SEYED ALI; HOSSEINI SEYED MOHAMMAD

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Journal: TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ) Year:2011 | Volume:68 | Issue:12 Page(s): 726-730

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Title

RIGHT PLEURAL VERSUS MEDIASTINAL DRAINAGE FOLLOWING ELECTIVE OFF-PUMP CORONARY ARTERY BYPASS

Author(s)

Keywords

CHEST TUBEQ3

MEDIASTINUMQ2

OFF-PUMP CORONARY ARTERY BYPASSQ3

PLEURAL CAVITYQ3

Abstract

Background: Proper drainage of the mediastinal and pleural spaces following Off- Pump Coronary Artery Bypass (OPCAB) surgery is essential for the prevention of pleural and pericardial effusions, cardiac tamponade and late complications such as constrictive pericarditis. Drainage tubes themselves may induce some complications which can negatively affect the result of the surgery. In this study we assessed a new technique for chest drainage following OPCAB.Methods: In this clinical trial, 171 patients were allocated to two groups. In the control group, the drainage technique included one drain in the left PLEURAL CAVITY and another in the MEDIASTINUM, while in the case group; the drainage technique included one drain in the left plural and one in the right PLEURAL CAVITY.Results: The amount of drainage in the case group was more than the control group (p=0.001). We found significant reductions in the incidence of arrhythmias in the case group (p=0.005). While one patient (1.2%) needed reoperation for bleeding control in the control group, no patients needed reexploration in the case group (p=0.497). The duration of hospital (p=0.022) and ICU (p=0.002) stays was shorter in the case group.Conclusions: Based on the results of this study, changing the position of mediastinal drains in patients undergoing OPCAB surgery and shifting it to the right PLEURAL CAVITY, reduces complications, such as arrhythmia and pericardial effusion, aside from establishing a better drainage.

Cites

THE EFFECT OF EARLY MOBILIZATION ON HEMODYNAMIC PARAMETERS IN PATIENTS UNDERGOING CORONARY ARTERY BYPASS GRAFT SURGERY

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APA: Copy

FOROUZAN NIA, SEYED KHALIL, MIRHOSSEINI, SEYED JALIL, MOSHTAGHION, SEYED HOSSEIN, ABDOLLAHI, MOHAMMAD HASSAN, HOSSEINI, HABIBOLAH, DEHGHANIZADEH, HAMZEH, BANI FATEME, SEYED ALI, & HOSSEINI, SEYED MOHAMMAD. (2011). RIGHT PLEURAL VERSUS MEDIASTINAL DRAINAGE FOLLOWING ELECTIVE OFF-PUMP CORONARY ARTERY BYPASS. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), 68(12), 726-730. SID. https://sid.ir/paper/38174/en

Vancouver: Copy

FOROUZAN NIA SEYED KHALIL, MIRHOSSEINI SEYED JALIL, MOSHTAGHION SEYED HOSSEIN, ABDOLLAHI MOHAMMAD HASSAN, HOSSEINI HABIBOLAH, DEHGHANIZADEH HAMZEH, BANI FATEME SEYED ALI, HOSSEINI SEYED MOHAMMAD. RIGHT PLEURAL VERSUS MEDIASTINAL DRAINAGE FOLLOWING ELECTIVE OFF-PUMP CORONARY ARTERY BYPASS. TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)[Internet]. 2011;68(12):726-730. Available from: https://sid.ir/paper/38174/en

IEEE: Copy

SEYED KHALIL FOROUZAN NIA, SEYED JALIL MIRHOSSEINI, SEYED HOSSEIN MOSHTAGHION, MOHAMMAD HASSAN ABDOLLAHI, HABIBOLAH HOSSEINI, HAMZEH DEHGHANIZADEH, SEYED ALI BANI FATEME, and SEYED MOHAMMAD HOSSEINI, “RIGHT PLEURAL VERSUS MEDIASTINAL DRAINAGE FOLLOWING ELECTIVE OFF-PUMP CORONARY ARTERY BYPASS,” TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ), vol. 68, no. 12, pp. 726–730, 2011, [Online]. Available: https://sid.ir/paper/38174/en

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