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Chest drainage helps maintain respiratory function and hemodynamic stability by removing blood, fluid, or air from around your lungs, heart, or esophagus. By providing regulated negative pressure, chest drainage allows the lungs to fully expand, an important clinical goal for patients with injuries or diseases, or patients undergoing surgery and post-surgery recovery. Chest tube drainage systems are typically used in operating rooms, ICUs, and the emergency department.
In selecting a chest tube drainage system, many hospitals prioritize systems that provide reliable, uninterrupted drainage of the chest cavity, easy setup, quiet operation, and advanced monitoring features to improve chest drainage management. Portable chest drainage systems offer additional benefits, including reduced reliance on wall suction and earlier mobility to the lower the risk of post-operative complications and reduce length of stay.
Patient’s recovery after heart surgery heavily relies on the selected chest drainage system - ...
Patient’s recovery after lung surgery heavily relies on the selected chest drainage system - ...
Vast amounts of clinical and global experience show how the introduction of Digital Chest Drainage systems has significantly impacted the medical field.
ERAS® guidelines for enhanced recovery after lung surgery with strong recommendation for digital drainage.1
NICE (an executive non-departmental public body of the Department of Health in the UK) recommends Thopaz+ for managing chest drains 2. "At a national level, adopting
Thopaz+ is expected to save around £8.5 million ($10.68 million) per year in England".
New AWMF S3-Leitlinie (Association of the Scientific Medical Societies in Germany S3 Guideline) 3 recommends digital drainage for primary/secondary pneumothorax.
1,000,000 patients treated with Thopaz or Thopaz+.
Clinical data of 120 cardiac patients showed more efficient fluid collection due to continuous suction.4
CADTH (Canadian Agency for Drugs and Technologies in Health) appraisal for compact digital chest drainage systems.5
Data of international multicenter study shows significant reduction of chest tube duration and length of stay.6
Publication of "Consensus definitions ESTS, AATS and STS to promote an evidence-based approach to management of the pleural space".8
Robert J. Cerfolio, thoracic surgeon and thought leader acknowledges the benefits of Thopaz after pulmonary resection.9
First patient on Thopaz.
Introduction of Santhora Thoracic Drainage System.
Unlike analogue systems, it reliably regulates the applied pressure at the patient’s chest and digitally (and quietly) monitors critical therapy indicators. Clinical data has demonstrated that Medela’s chest drainage therapy improves outcomes and streamlines the delivery of care.
1 Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E, et al. Guidelines for enhanced recovery after lung surgery: recommendations of the enhanced recovery after surgery (ERAS®) society and the european society of thoracic surgeons (ESTS). Eur J Cardio-Thorac Surg. 2018. [Epub ahead of print]. doi: 10.1093/ejcts/ezy301. https://www.ncbi.nlm.nih.gov/pubmed/30304509
2 NICE Guidance MTG37: https://www.nice.org.uk/guidance/MTG37
3 AWMF S3-Leilinie: Diagnostik und Therapie von. Spontanpneumothorax und postinterventionellem Pneumothorax http://www.awmf.org/fileadmin/user_upload/Leitlinien/010_Thoraxchirurgie/010-007ag_S3_Spontanpneumothorax-postinterventioneller-Pneumothorax-Diagnostik-Therapie_2018-03.pdf
4 Barozzi, L. et al., 2015: Do we still need wall suction for chest drainage? J Cardiovascular Surgery.2015;56(Supp.1)102.
5 Rapid Response Report: Compact Digital Thoracic Drain Systems for the Management of Thoracic Surgical Patients: A Review of the Clinical Effectiveness, Safety, and Cost-Effectiveness . https://cadth.ca/sites/default/files/pdf/htis/dec-2014/RC0590%20Compact%20Digital%20Thoracic%20Drain%20Final.pdf
6 Pompili, C. et al., 2014: Multicenter International Randomized Comparison of Objective and Subjective Outcomes Between Electronic and Traditional Chest Drainage Systems. Ann Thorac Surg. 98: 490–497.
8 Brunelli, A. et al., 2011: Consensus definitions to promote an evidence-based approach to management of the pleural space. A collaborative proposal by ESTS, AATS, STS, and GTSC. Eur J Cardiothorac Surg.: 40(2):291-7.
9 Cerfolio, Robert J. et al., The Benefits of Continuous and Digital Air Leak Assessment After Elective Pulmonary Resection: A Prospective Study.The Annals of Thoracic Surgery , Volume 86 , Issue 2 , 396 - 401.