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PAFMJ. 2016; 66(4): 591-594


IS CHEST TUBE CLAMPING NECESSARY BEFORE REMOVAL? AN EXPERIENCE WITH 2661 CASES OF TUBE THORACOSTOMIES

Tashfeen Imtiaz, Farhan Ahmed Majeed, Ahmed Raza, Kamran Rahim*, Yasir Saeed, Muhammad Imran.

Abstract
Objective: The aim of this study was to evaluate outcome of chest tube removal without clamping and relying only on clinical or radiological status for removal.
Study Design: Retrospective descriptive study.
Place and Duration of Study: The study was conducted in CMH Rawalpindi over a period of four years.
Material and Methods: All patients of tube thoracostomies during Jan 2010 to Dec 2013 were included. Sample size was 2661. 1061 intubations were done for trauma, effusions and pneumothoraces, 905 in thoracostomies, 443 in VATS procedures like decortications, apical staplings, pleural biopsies and thymectomies and 252 in miscellaneous procedures such as open pleural biopsies, thoracoplasties and chest wall resections and reconstructions. Chest tube removal was based on absence of air bubbling in chest bottle, clinically or radiologically expanded lung, less than 6 cm excursion of column of chest tube and fluid output of

Key words: Chest Tube, Clamping, Pneumothorax, Thoracotomy.



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