| Risk factors for prolonged air leak after pulmonary resection. | |
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MedLine Citation:
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PMID: 20619226 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Practical risk models stratifying the risk of prolonged air leak after pulmonary lobectomy have been developed and discussed. These scores may assist during preoperative patients' counseling, to identify patients at higher risk for prolonged air leak, who may benefit from the use of prophylactic measures such as the use of sealants, buttressed staple lines, or pleural tents. Furthermore, they may be used as standardized inclusion criteria for future randomized clinical trials testing the efficacy of these new technologies, and in doing so make the interpretation of results across different centers and studies more comparable. The clinical use of digital chest drainage units that permit quantitative measurement and recording of air leak flow and intrapleural pressure appears to add to the prediction and management of air leak after pulmonary resection. The use of risk scores based on these digital measures may set the stage for future investigations of active pleural management aimed at treating air leak by tailoring the level of intrapleural pressure to the needs of individual patients. |
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Authors:
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Alessandro Brunelli; Stephen D Cassivi; Lisa Halgren |
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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: 359-64 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, Umberto I Regional Hospital, Ospedali Riuniti, Ancona 60020, Italy. brunellialex@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Chest Tubes Humans Logistic Models Lymph Node Excision Pleural Diseases / epidemiology* Pneumonectomy / adverse effects*, methods Pneumothorax / epidemiology Postoperative Complications / epidemiology Risk Assessment Risk Factors Thoracoscopy |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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