Volume 68, Issue 12 (6 2011)                   Tehran Univ Med J 2011, 68(12): 726-731 | Back to browse issues page

XML Persian Abstract Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

SKh F N, SJ M, SH M, MH A, H H, H D, et al . Right pleural versus mediastinal drainage following elective off-pump coronary artery bypass. Tehran Univ Med J. 2011; 68 (12) :726-731
URL: http://tumj.tums.ac.ir/article-1-284-en.html
1- , drforouzan_nia@yahoo.com
Abstract:   (4635 Views)
} 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.

Full-Text [PDF 194 kb]   (1078 Downloads)    

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


© 2019 All Rights Reserved | Tehran University Medical Journal TUMS Publications

Designed & Developed by : Yektaweb