| Evidence-based suggestions for management of air leaks. | |
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MedLine Citation:
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PMID: 20619236 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The management of postoperative alveolar air leaks (AALs) continues to challenge thoracic surgeons. AALs increase length of stay and health care costs, and likely lead to other postoperative complications. Staple line buttresses, topical sealants, pleural tents, pneumoperitoneum, and modifications of traditional chest tube management (ie, reduced suction) have all been proposed to help reduce AAL. However, the cost of some of the commercial products being marketed may outweigh their relative effectiveness, and some of these techniques and products have not been adequately studied to date. This article provides a review of the available evidence-based literature that addresses the efficacy of the options currently available to prevent and manage AALs. Management suggestions based on this literature are presented. |
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Authors:
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Robert E Merritt; Sunil Singhal; Joseph B Shrager |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Thoracic surgery clinics Volume: 20 ISSN: 1547-4127 ISO Abbreviation: Thorac Surg Clin Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-12 Completed Date: 2010-10-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101198195 Medline TA: Thorac Surg Clin Country: United States |
Other Details:
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Languages: eng Pagination: 435-48 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Elsevier Inc. All rights reserved. |
Affiliation:
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Division of Thoracic Surgery, Department of Cardiothoracic Surgery, Stanford University School of Medicine, Stanford Medical Center, 2nd floor Falk Building, 300 Pasteur Drive, Stanford, CA 94305, USA. rmerritt@stanford.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Blood Transfusion, Autologous
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methods Humans Pleural Effusion / therapy* Pneumothorax / therapy* Postoperative Care Pulmonary Disease, Chronic Obstructive / epidemiology Risk Factors Surgical Stapling |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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