Chest drainage

2023 Sørensen MF, Holbek BL, Petersen RH, Christensen TD. What is the optimal level of suction on digital chest drainage devices following pulmonary lobectomy? Interact CardioVasc Thorac Surg 2021; doi:10.1093/icvts/ivab028.

2023 Vasconcelos-Castro S, Borges-Dias M, Soares-Oliveira M. Digital Thoracic Drainage System: A New Tool For Pediatric Thoracic Surgery. Rev Port Cir Cardiotorac Vasc [Internet]. 2023;29(4):21-5.

2023 Zhou L, Guo K, Shang X, et al. Advantages of applying digital chest drainage system for postoperative management of patients following pulmonary resection: a systematic review and meta-analysis of 12 randomized controlled trials. Gen Thorac Cardiovasc Surg 2023;71:1-11. https://doi.org/10.1007/s11748-022-01875-7

2023 Aprile V, Bacchin D, Calabrò F, et al. Intraoperative prevention and conservative management of postoperative prolonged air leak after lung resection: a systematic review. J of Thorac Dis 2023;15(2): 878.

2023 Batchelor, TJP. Enhanced recovery after surgery and chest tube management. J Thorac Dis 2023;15(2):901-908.

2022 Izaaryene J, Dassa M, Orsini B et al. Initial Experience of Digital Air Leak Quantification in Interventional Radiology. Cardiovasc Intervent Radiol 2022;45:1750–1754. https://doi.org/10.1007/s00270-022-03190-3

2022 Chang PC, Chen, KH, Jhou HJ, Lee CH, Chou SH, Chen PH, Chang TW. Promising effects of digital chest tube drainage system for pulmonary resection: a systematic review and network meta-analysis. Journal of Personalized Medicine 2022;12(4):512.

2022 Tamura K., Sakurai S. Clinical efficacy of digital chest drainage system in cardiac valve surgery. Gen Thorac Cardiovasc Surg 2022;70:619–623. https://doi.org/10.1007/s11748-021-01752-9

2021 Pawelkowska, K, et al. Early experience with the Thopaz+ chest drainage system–is this a new era in the management of post-cardiotomy bleeding?. Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery 2021;18(4): 236-238.

2021 Eriguchi D, Ito H, Nagashima T, Adachi H, Samejima J, Nemoto D et al. Usefulness of monitoring intrapleural pressure with digital chest drainage system for the management of airleakage after lung resection. Interact CardioVasc Thorac Surg 2021; doi:10.1093/icvts/ivab122.

2021 Mitsui S, Tauchi S, Uchida T, et al. Low suction on digital drainage devices promptly improves post-operative air leaks following lung resection operations: a retrospective study. J Cardiothorac Surg 2021; 16(105) https://doi.org/10.1186/s13019-021-01485-z

2020 Alam MS, Haseen, MA, Aslam M, Beng MH. Use of Thopaz in patients of empyema thoracis undergoing decortication. Lung. India 2020 (37):511–517.

2020 Saha S, Hofmann S, Jebran AF, et al. Safety and efficacy of digital chest drainage units compared to conventional chest drainage units in cardiac surgery. Interact CardioVasc Thorac Surg 2020;31(1):42-47.

2020 Ruigrok D, Kunst PWA, Blacha MMJ, et al. Digital versus analogue chest drainage system in patients with primary spontaneous pneumothorax: a randomized controlled trial. BMC Pulmonary Medicine 2020; 20:136

2020 Barozzi L, Biagio LS, Meneguzzi M, et al. Novel, digital, chest drainage system in cardiac surgery. J Card Surg. 2020;1–6.2020Pfeuty K, Lenot B. Early postoperative day 0 chest tube removal using a digital drainage device protocol after thoracoscopic major pulmonary resection. Interact CardioVasc Thorac Surg 2020; doi:10.1093/icvts/ivaa170.

2019 Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E, et al. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERASVR). Society and the European Society of Thoracic Surgeons (ESTS) Eur J Cardiothorac Surg. 2019;55:91–115.

2019 Engelman DT, Ben Ali W, Williams JB, et al. Guidelines for perioperative care in cardiac surgery: Enhanced Recovery After Surgery Society recommendations. JAMA Surg 2019; 154: 755–766.

2019 Holbek BL, Christensen M, Hansen HJ, et al. The effects of low suction on digital drainage devices after lobectomy using video-assisted thoracoscopic surgery: a randomized controlled trialdagger. Eur J Cardiothorac Surg 2019;55:673–81.

2019 Wang H, Hu W, Ma L, et al. Digital chest drainage system versus traditional chest drainage system after pulmonary resection: A systematic review and meta-analysis. J Cardiothorac Surg 2019;14:13

2019 Engelman DT, Ben Ali W, Williams JB, et al. Guidelines for perioperative care in cardiac surgery: Enhanced Recovery After Surgery Society recommendations. JAMA Surg 2019;154:755–766.

2019 Van Linden A, Hecker F, Courvoisier DS, et al. Reduction of drainage-associated complications in cardiac surgery with a digital drainage system: a randomized controlled trial. J Thorac Dis 2019;11(12):5177-5186.

2019 Pérez-Egido L, Antonia MA, García-Casillasa, Simal I, et al. Digital thoracic drainage: a new system to monitor air leaks in pediatric population. J Pediatr Surg 2019;54(4):693–695.

2019 Jacobsen K, Talbert S, Boyer JH. The benefits of digital drainage system versus traditional drainage system after robotic-assisted pulmonary lobectomy. J Thorac Dis 2019;11(12): 5328–5335.

2019 Hallifax RJ, Laskawiec-Szkonter M, Rahman NM. Predicting outcomes in primary spontaneous pneumothorax using air leak measurements. Thorax 2019;74:410–412.

2018 Evans JM, Ray A, Dale M, et al. Thopaz+ portable digital system for managing chest drains: A NICE Medical Technology Guidance. Appl Health Econ Health Policy 2019;17(3):285–94.

2018 Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E, et al. Guidelines for enhanced recovery after lung surgery: recommendations of the Enhanced Recovery After Surgery (ERASVR). Society and the European Society of Thoracic Surgeons (ESTS) Eur J Cardiothorac Surg 2019;55:91–115.

2018 Zhou J, Lyu M, Chen N, et al. Digital chest drainage is better than traditional chest drainage following pulmonary surgery: a meta-analysis. Eur J Cardiothorac Surg 2018;54:635–42.

2017 Yeung, C, Ghazel, M, French, D. Forecasting pulmonary air leak duration following lung surgery using transpleural airflow data from a digital pleural drainage device. J Thorac Dis 2018; 10(Suppl 32): 3747–3754.

2016 Pompili C, Salati M, Refai M, et al. Recurrent air leak soon after pulmonary lobectomy: an analysis based on an electronic airflow evaluation. Eur J Cardiothorac Surg. 2016;49:1091–4.

2016 Shiroyama T, Okamoto N, Tamiya M, et al. Effective Management of Persistent Pneumothorax Using a Thopaz Digital Drainage System Combined with an Endobronchial Watanabe Spigot. Intern Med 2016;55:663-5.

2016 Bakhos C, Doelken P, Pupovac S, et al. Management of prolonged pulmonary air leaks with endobronchial valve placement. JSLS 2016;20: e2016.00055.

2016 Costa AD Jr, Bachichi T, Holanda C, Rizzo LA. An initial experience with a digital drainage system during the postoperative period of pediatric thoracic surgery. Jornal Brasileiro De Pneumologia: Publicacao Oficial Da Sociedade Brasileira De Pneumologia E Tisilogia. 2016;42(6):444–6.

2016 Miller DL, Helms GA, Mayfield WR. Digital drainage system reduces hospitalization after video-assisted thoracoscopic surgery lung resection. Ann Thorac Surg 2016;102:955-61.2016Wei B, Cerfolio RJ. Clinical pathway for thoracic surgery in the United States. J Thorac Dis. 2016;8:S29eS36.

2016 Sihoe AD. Uniportal video-assisted thoracic (VATS) lobectomy. Ann Cardiothorac Surg 2016;5:133–44.

2016 Khan AZ, Pillai GG. From 200 BC to 2015 AD: an integration of robotic surgery and Ayurveda/Yoga. J Thorac Dis 2016;8:S84–92.

2016 Sihoe A, Yu P, Lee K, Liu X. Adherence to a clinical pathway for video-assisted thoracic surgery: predictors and clinical importance. Innovations 2016;11:179–86.

2016 Shoji F, Takamori S, Akamine T, et al. Clinical evaluation and outcomes of digital chest drainage after lung resection. Ann Thorac Cardiovasc Surg 2016;22(6):354–358.

2016 Refai M, Salati M, Tiberi M, et al. Clinical pathway for thoracic surgery in an Italian centre. J Thorac Dis 2016;8:23-8.

2016 George RS, Papagiannopoulos K. Advances in chest drain management in thoracic disease. J Thorac Dis 2016;8:55-64.

2016 Drahush N, Miller AD, Smith JS, et al. Standardized approach to prolonged air leak reduction after pulmonary resection. Ann Thorac Surg. 2016;101(6):2097–2101.

2015 Lijkendijk M, Licht PB, Neckelmann K. Electronic versus traditional chest tube drainage following lobectomy: a randomized trial. Eur J Cardiothorac Surg 2015;48:893–8.

2015 Chavarín A., Molins L., Mier J.M., et al. The Role of Ultrasound and Air Leak Measurement in Assessing Lung Expansion after Thoracic Surgery. Surgical Science 2015, 6, 352-357.

2015 Southey D, Pullinger D, Loggos S, et al. Discharge of thoracic patients on portable digital suction: Is it cost-effective? Asian Cardiovasc Thorac Ann 2015;23:832-8.

2015 Brocki BC, Andreasen JJ, Langer D, et al. Postoperative inspiratory muscle training in addition to breathing exercises and early mobilization improves oxygenation in high-risk patients after lung cancer surgery: a randomized controlled trial. Eur J Cardiothorac Surg 2016;49:1483-91.

2015 Gilbert S, McGuire AL, Maghera S, et al. Randomized trial of digital versus analog pleural drainage in patients with or without a pulmonary air leak after lung resection. J Thorac Cardiovasc Surg 2015;150:1243–9.

2015 Pompili C, Xiumè F, Hristova R, et al. Regulated drainage reduces the incidence of recurrence after uniportal video-assisted thoracoscopic bullectomy for primary spontaneous pneumothorax: a propensity case-matched comparison of regulated and unregulated drainage. Eur J Cardiothorac Surg 2016;49:1127–31.

2015 Cafarotti S, Cusumano G, Giuliani M, et al. Extraanatomical VATS lung resection: the outpatient experience with the aid of a digital chest drain device. Eur Rev Med Pharmacol Sci 2015;19:3850-4.

2015 Mesa-Guzman M, Periklis P, Niwaz Z, et al. Determining optimal fluid and air leak cut-off values for chest drain management in general thoracic surgery. J Thorac Dis 2015;7:2053-7.

2014 Jablonski S, Brocki M, Wawrzycki M, et al. Efficacy assessment of the drainage with permanent airflow measurement in the treatm

1. Lung cancer statistics. Centers for Disease Control and Prevention.
Accessed June 8, 2021. https://www.cdc.gov/cancer/lung/statistics/
index.htm

2. Lang-Lazdunski L. Surgery for nonsmall cell lung cancer. Eur Respir Rev.
2013;22(129):382-404. doi:10.1183/09059180.00003913

3. French DG, Plourde M, Henteleff H, Mujoomdar A, Bethune D. Optimal
management of postoperative parenchymal air leaks. J Thorac Dis.
2018;10(Suppl 32):S3789-S3798. doi:10.21037/jtd.2018.10.05

4. Aldaghlawi F, Kurman JS, Lilly JA, et al. A systematic review of digital
versus analog drainage for air leak following surgical resection or spontaneous
pneumothorax. Chest. 2020;157(5):1346-1353. doi:10.1016/j.
chest.2019.11.046

5. Wood DE, Lauer LM, Layton A, Tong KB. Prolonged length of stay associated
with air leak following pulmonary resection has a negative impact
on hospital margin. Clinicoecon Outcomes Res. 2016;8:187-195.
doi:10.2147/CEOR.S95603

6. Thopaz+ portable digital system for managing chest drains. National Institute for Health and Care Excellence. March 21, 2018. Updated June 6, 2022.
Accessed December 12, 2022. https://www.nice.org.uk/guidance/mtg37

7. STS National Database. Society of Thoracic Surgeons. Accessed
December 10, 2022. https://www.sts.org/registries-research-center/
sts-national-database

8. Burt BM, Shrager JB. Prevention and management of postoperative
air leaks. Ann Cardiothorac Surg. 2014;3(2):216-218. doi:10.3978/j.
issn.2225-319X.2014.03.03

9. Drahush N, Miller AD, Smith JS, Royer AM, Spiva M, Headrick JR Jr.
Standardized approach to prolonged air leak reduction after pulmonary
resection. Ann Thorac Surg. 2016;101(6):2097-2101. doi:10.1016/
j.athoracsur.2016.01.049

10. Pompili C, Detterbeck F, Papagiannopoulos K, et al. Multicenter international
randomized comparison of objective and subjective outcomes
between electronic and traditional chest drainage systems. Ann Thorac
Surg. 2014;98(2):490-497. doi:10.1016/j.athoracsur.2014.03.043

11. Memtsoudis SG, Poeran J, Kehlet H. Enhanced recovery after surgery in
the United States: from evidence-based practice to uncertain science?
JAMA. 2019;321(11):1049-1050.

12. Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E, et al. Guidelines for
enhanced recovery after lung surgery: recommendations of the Enhanced
Recovery After Surgery (ERAS) Society and the European Society of
Thoracic Surgeons (ESTS). Eur J Cardiothorac Surg. 2019;55(1):91-115.

13. Wang H, Hu W, Ma L, Zhang Y. Digital chest drainage system versus
traditional chest drainage system after pulmonary resection: a systematic
review and meta-analysis. J Cardiothorac Surg. 2019;14(1):13.

14. Zhou J, Lyu M, Chen N, et al. Digital chest drainage is better than traditional
chest drainage following pulmonary surgery: a meta-analysis.
Eur J Cardiothorac Surg. 2018;54(4):635-643. doi:10.1093/ejcts/ezy141

15. Plourde M, Jad A, Dorn P, et al. Digital air leak monitoring for lung
resection patients: a randomized controlled clinical trial. Ann Thorac
Surg. 2018;106(6):1628-1632.

16. Takamochi K, Nojiri S, Oh S, et al. Comparison of digital and traditional
thoracic drainage systems for postoperative chest tube management after
pulmonary resection: a prospective randomized trial. J Thorac Cardiovasc
Surg. 2018;155(4):1834-1840.

17. Gilbert S, McGuire AL, Maghera S, et al. Randomized trial of digital
versus analog pleural drainage in patients with or without a pulmonary
air leak after lung resection. J Thorac Cardiovasc Surg. 2015;150(5):1243-
1249. doi:10.1016/j.jtcvs.2015.08.051

18. Brunelli A, Salati M, Refai M, Di Nunzio L, Xiumé F, Sabbatini A. Evaluation
of a new chest tube removal protocol using digital air leak monitoring
after lobectomy: a prospective randomized trial. Eur J Cardiothorac
Surg. 2010;37(1):56-60. doi:10.1016/j.ejcts.2009.05.006

19. Cerfolio RJ, Bryant AS. The benefits of continuous and digital air leak
assessment after elective pulmonary resection: a prospective study. Ann
Thorac Surg. 2008;86(2):396-401. doi:10.1016/j.athoracsur.2008.04.016

20. De Waele M, Agzarian J, Hanna WC, et al. Does the usage of digital chest
drainage systems reduce pleural inflammation and volume of pleural
effusion following oncologic pulmonary resection? A prospective randomized
trial. J Thorac Dis. 2017;9(6):1598-1606. doi:10.21037/
jtd.2017.05.78

21. Lijkendijk M, Licht PB, Neckelmann K. Electronic versus traditional chest
tube drainage following lobectomy: a randomized trial. Eur J Cardiothorac
Surg. 2015;48(6):893-898.

22. Marulli G, Comacchio GM, Nosotti M, et al. Multicenter randomized
study on the comparison between electronic and traditional chest drainage
systems. Trials. 2019;20(1):730. doi:10.1186/s13063-019-3811-8

23. Filosso PL, Nigra VA, Lanza G, et al. Digital versus traditional air leak
evaluation after elective pulmonary resection: a prospective and comparative
mono-institutional study. J Thorac Dis. 2015;7(10):1719-1724.

24. Mayor JM, Lazarus DR, Casal RF, et al. Air leak management program
with digital drainage reduces length of stay after lobectomy. Ann Thorac
Surg. 2018;106(6):1647-1653.

25. Miller DL, Helms GA, Mayfield WR. Digital drainage system reduces hospitalization
after video-assisted thoracoscopic surgery lung resection. Ann
Thorac Surg. 2016;102(3):955-961. doi:10.1016/j.athoracsur.2016.03.089

26. Pompili C, Brunelli A, Salati M, Refai M, Sabbatini A. Impact of the
learning curve in the use of a novel electronic chest drainage system
after pulmonary lobectomy: a case-matched analysis on the duration of
chest tube usage. Interact Cardiovasc Thorac Surg. 2011;13(5):490-493.
doi:10.1510/icvts.2011.280941

27. Jacobsen K, Talbert S, Boyer JH. The benefits of digital drainage system
versus traditional drainage system after robotic-assisted pulmonary
lobectomy. J Thorac Dis. 2019;11(12):5328-5335. doi:10.21037/

28. Afoke J, Tan C, Hunt I, Zakkar M. Might digital drains speed up the
time to thoracic drain removal? Interact Cardiovasc Thorac Surg.
2014;19(1):135-138.

29. Rodríguez M, Jiménez MF, Hernández MT, Novoa NM, Aranda JL,
Varela G. Usefulness of conventional pleural drainage systems to predict
the occurrence of prolonged air leak after anatomical pulmonary
resection. Eur J Cardiothorac Surg. 2015;48(4):612-615. doi:10.1093/
ejcts/ezu470

30. Shintani Y, Funaki S, Ose N, et al. Air leak pattern shown by digital chest
drainage system predict prolonged air leakage after pulmonary resection
for patients with lung cancer. J Thorac Dis. 2018;10(6):3714-3721.
doi:10.21037/jtd.2018.05.150

31. Takamochi K, Imashimizu K, Fukui M, et al. Utility of objective chest
tube management after pulmonary resection using a digital drainage
system. Ann Thorac Surg. 2017;104(1):275-283. doi:10.1016/j.athoracsur.
2017.01.061

32. Mori R, Yamazaki K, Shoji F, et al. Assessment of pleural air leakage
using digital chest drainage system after surgical pulmonary resection:
comparison of visible alveolar air leakage with the digital value measured
by a digital chest drainage system. PLoS One. 2017;12(11):e0187705.
doi:10.1371/journal.pone.0187705

33. Baringer K, Talbert S. Chest drainage systems and management of air
leaks after a pulmonary resection. J Thorac Dis. 2017;9(12):5399-5403.

34. Freeman RK, Dilts JR, Ascioti AJ, Dake M, Mahidhara RS. A comparison
of length of stay, readmission rate, and facility reimbursement
after lobectomy of the lung. Ann Thorac Surg. 2013;96(5):1740-1746.
doi:10.1016/j.athoracsur.2013.06.053

35. Setting the stage for sustainability in quality improvement projects.
National Institute for Children’s Health Quality. Accessed December
12, 2022. https://www.nichq.org/insight/setting-stage-sustainabilityquality-
improvement-projects

36. How does standardizing care affect quality? Wolters Kluwer. November
9, 2017. Accessed December 10, 2022. https://www.wolterskluwer.com/
en/expert-insights/how-does-standardizing-care-affect-quality