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Effect of Timing of Chest Tube Removal on Development of Pericardial Effusion Following Cardiac Surgery by Hakan Gercekoglu; Naz Bige Aydin; Bahadir Dagdeviren; Vedat Ozkul; Tufan Sener; Murat Demirtas; Tuna Tezel; Ergin Eren; Azmi Ozler is a Medicine article available to read on EtoBox.

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## Background: There are no standard criteria for the timing of drain removal. the objective of this study was to determine whether the macroscopic appearance of chest tube drainage fluid to serosanguineous may be used as a criteria for drain removal. ## Methods: 2,359 patients were assessed retrospectively and 80 randomized patients were followed prospectively who underwent cardiac surgery. in both parts of the study, patients were divided into two groups according to the timing of drain removal. group i consisted of patients whose chest tubes were removed as soon as the macroscopic appearance of the drainage fluid turned to serosanguineous. group ii consisted of patients whose chest tubes were removed at the second postoperative day when the drainage output declined to less than 50 ml in a five-hour period. in the retrospective part, cases of hemodynamically significant pericardial effusion observed within seven days postoperatively were reviewed. in the prospective part, just before the drain removal, the fluid sample hematocrit obtained from the drain lines and patients' blood hematocrit were measured and recorded. patients were evaluated with echocardiography for pericardial e

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Author

Hakan Gercekoglu; Naz Bige Aydin; Bahadir Dagdeviren; Vedat Ozkul; Tufan Sener; Murat Demirtas; Tuna Tezel; Ergin Eren; Azmi Ozler

Publisher

Hindawi Limited

Published

2003

Language

EN

Field

Medicine (Health Sciences)