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KMID : 0364020090420010059
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Korean Journal of Thoracic and Cardiovascular Surgery
2009 Volume.42 No. 1 p.59 ~ p.62
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Efficacy of a 14Fr Blake Drain for Pleural Drainage Following Video-Assisted Thoracic Surgery
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Choi Jin-Wook
Choi Ho
Lee Sung-Soo
Moon Jong-Hwan
Chung Sang-Ho
Kim Jong-Seok
An Hyoung-Wook
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Abstract
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Background: Pleural drainage following video-assisted thoracic surgery has traditionally been achieved with large- bore, semi-rigid chest tubes. Recent trends in thoracic surgery have been toward less invasive approaches for a variety of diseases. The purpose of this study was to evaluate the safety and efficacy of drainage by means of small, soft, and flexible 14Fr Blake drains.
Material and Method: Between December 2007 and March 2008, 14Fr silastic Blake drains were used for drainage of the pleural cavity in 37 patients who underwent a variety of video- assisted thoracic surgical procedures at our institution.
Result: The average postoperative length of hospital stay was 3.26 days (range, 2∼12 days), Blake drains were left in the pleural space for an average of 3.15 days (range, 1∼7 days), and the average amount of drainage was 43.8 ml/day. The maximal amount of blood removed daily by a Brake drain was as much as 290 mL. There were no drain-related complications. Blake drains seemed to cause less pain while in place, and particularly at the time of removal.
Conclusion: The use of a Blake drain following minor thoracic surgery appeared to be safe and effective in drainage of fluid or air in the pleural space, and were associated with minimal discomfort. (Korean J Thorac Cardiovasc Surg 2009;42:59-62)
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KEYWORD
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Video-assisted thoracic surgery (VATS), Catheter, Drainage
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