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Position and size of tube chest drainage, what impact in pneumothorax outcome?

Lamia Missaoui, Haifa Zaibi, Aymen Ayari, Jihen Ben Amar, M. Ali Baccar, Salwa Azzebi, Besma Dhahri, Hichem Aouina
European Respiratory Journal 2016 48: PA5041; DOI: 10.1183/13993003.congress-2016.PA5041
Lamia Missaoui
1Service de Pneumologie, Hopital Charles Nicolle, Tunis, Tunisia
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Haifa Zaibi
1Service de Pneumologie, Hopital Charles Nicolle, Tunis, Tunisia
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Aymen Ayari
1Service de Pneumologie, Hopital Charles Nicolle, Tunis, Tunisia
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Jihen Ben Amar
1Service de Pneumologie, Hopital Charles Nicolle, Tunis, Tunisia
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M. Ali Baccar
1Service de Pneumologie, Hopital Charles Nicolle, Tunis, Tunisia
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Salwa Azzebi
1Service de Pneumologie, Hopital Charles Nicolle, Tunis, Tunisia
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Besma Dhahri
1Service de Pneumologie, Hopital Charles Nicolle, Tunis, Tunisia
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Hichem Aouina
1Service de Pneumologie, Hopital Charles Nicolle, Tunis, Tunisia
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Abstract

BACKGROUND: Chest tube drainage (CTD) is the most common choice for treatment of pneumothorax. The optimal position and chest tube size for the drainage is unknown. This study proposed to evaluate the short term effect of pneumothorax treatment according to size and position of chest tube.

METHODS: Patients with an episode of pneumothorax who required pleural intervention were enrolled in the study.Clinical demographic data and outcomes, including success rate, complications, drainage duration, residual pneumothoraces and the need for surgical intervention were collected and analyzed.

RESULTS: The study group included 69 patients (mean age 39.75±17.3 years); with 25 and 38 allocated to small and large chest tube drainage groups, respectively. The approach of CTD was performed with the apical approach on 45 (70.3%) and axillary on 19 patients (29.7%). There were no statistically significant differences in terms of sex, of demographic data, complaint duration, first line treatment success, number of an unresolved pneumothorax and size of pneumothorax in either group. Compared with patients treated with smaller chest tubes, patients with large-bore tubes had more complications (13.15% versus 4%), a longer duration of chest tube (10.71 versus 8.64 days; p = 0.033) and of hospitalization (12.13 versus 9.12 days; p = 0.031).Regarding their placement, no significant difference was observed in outcomes between apical and axillary approaches.

CONCLUSIONS: We found small chest tubes to be superior to large-bore chest tubes with regard to short-term outcomes in the treatment of pneumothorax. Location of CTD does not influence their outcomes.

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Position and size of tube chest drainage, what impact in pneumothorax outcome?
Lamia Missaoui, Haifa Zaibi, Aymen Ayari, Jihen Ben Amar, M. Ali Baccar, Salwa Azzebi, Besma Dhahri, Hichem Aouina
European Respiratory Journal Sep 2016, 48 (suppl 60) PA5041; DOI: 10.1183/13993003.congress-2016.PA5041

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Position and size of tube chest drainage, what impact in pneumothorax outcome?
Lamia Missaoui, Haifa Zaibi, Aymen Ayari, Jihen Ben Amar, M. Ali Baccar, Salwa Azzebi, Besma Dhahri, Hichem Aouina
European Respiratory Journal Sep 2016, 48 (suppl 60) PA5041; DOI: 10.1183/13993003.congress-2016.PA5041
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