Chest Tube Selection in Cardiac and Thoracic Surgery: A Survey of Chest Tube-Related Complications and Their Management
Shanaz Shalli, Diyar Saeed, Kiyotaka Fukamachi, A. Marc Gillinov, William E. Cohn, Louis Perrault, Edward M. Boyle. J CARD SURG 2009;24:503-509
A survey of North American cardiothoracic surgeons and specialty cardiac surgery nurses performed to better define problems with current
paradigms for chest drainage.
- 100% of surgeons had observed chest tube clogging
- 87% of surgeons reported adverse patient outcomes from a clogged chest tube
- 87% of surgeons reported that they use larger diameter chest tubes due to the concern for the potential for chest tube clogging
- 51% of surgeons stated that they are not satisfied with currently available tubes and procedures to avoid tube occlusion
- 74% of surgeons believe that patient discomfort is impacted by the diameter of chest tubes used
- 72% of nurses reported that their institution does not allow nurses to strip chest tubes
- 75% of nurses report that managing chest tube clogging takes them away from other important tasks.