TY - JOUR T1 - Nurse care for patients with chest drainage and creation of local procedural standards JF - European Respiratory Journal JO - Eur Respir J VL - 38 IS - Suppl 55 SP - p1325 AU - Renata Sabova AU - Zuzana Taligova AU - Jan Plutinsky AU - Daniel Magula AU - Dalibor Petras Y1 - 2011/09/01 UR - http://erj.ersjournals.com/content/38/Suppl_55/p1325.abstract N2 - Introduction: Drain is simple or complicated device or entire system, which serves to evacuate unwanted secretions or air from the pleural space. Today, the chest drainage (CD) is frequently used in pneumology. Its application is pathophysiologically favourable, because the accumulation of fluid/air in body cavities prevents oxygenation of the cells, slows down mobilisation of collagen, prevents lymphatic drainage and creates a bounded space, resulting to delay the healing process.Aims: Upon nurse assistance during CD to share own experience with formation the local procedural standards.Methods: From 2007 to 2009 CD was performed on 159 patients (pts). Empyema had 88 pts, malignant pleural effusion 58 pts and pneumothorax 13 pts.Results: CD was without complications in 134 pts (84.3%). The complications occurred in 31 pts (19.5%). In 7 pts (4.4%) occurred trapped lungs; pain occurred in 6 pts (3.8%); the CD had to be repeated in 6 pts (3.8%), in 4 pts (2.5%) occurred clogging of the drain by fibrin clot. Leakage pleural effusion/empyema into skin was in 3 pts (1.9%), in one patient (0.6%) it was necessary to change the place of the drain. Collapse during CD had 7 pts (4.4%).Conclusions: Our experiences from nursing assistance in CD helped us to create the local procedural standards. For successful CD is necessary to meet several conditions. Maintain clear and airtight connection between chest cavity drainage and collection device, reduce inequalities between chest cavity volume and lung tissue and eliminated unwanted the aerodynamic situation. ER -