Safer care for enhaced recovery

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Thopaz+ provides safer care for enhanced recovery - after cardiac surgery as well!

Wall suction can interrupt steady drainage
  • It is critical to have a modern and functioning chest tube drainage system.
  • Wall suction in hospitals can interrupt steady drainage and may leave patients without controlled chest tube drainage for extended periods, for example, during transportation from the OR to the ICU.
  • This puts patients at risk for developing cardiac tamponade, pneumothorax and/or excessive bleeding after cardiac surgery.
thopaz offers uninterrupted drainage
  • Thopaz+ is a chest drain management solution that efficiently drains the chest cavity after cardiac surgery and can help preventing atrial fibrillation and other post-operative complications.
  • Thopaz+ ensures objective data and improved inter-observer communication.
  • Thopaz+ can be attached directly in the OR.
  • Important features of the system include: easy set-up, portable size, autonomous battery operation for mobility of the patient, noiseless function and digital indications and alarms.
  • “Our limited experience with this new system was very satisfactory and showed us that wall suction in hospital is no longer required for chest drainage after cardiac surgery.”1

Ref. 1: Barozzi et al. 64th European Society for Cardiovascular and Endovascular Surgery (ESCVS); 2015; 56, Supplement 1 No 2.

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The incidence of bleeding in the postoperative cardiac surgery can be high
  • Excessive bleeding post-cardiac surgery can trigger sepsis, acute respiratory distress syndrome and/or renal failure, and can be fatal2.
  • Nurses and heart surgeons must evaluate and register chest tube drainage, thromboelastogram monitoring, platelet mapping and modifiable predictive factors of increased bleeding, such as metabolic acidosis and post-operative heart rate3.

Ref. 2: Pereira et al J Clin Nurs 2019; 28:850-61
Ref. 3: Christensen et al J Thorac Cardiovasc Surg 2009;138:687-93

Thopaz+ simplifies chest tube management
  • Thanks to data trending and monitoring features, Thopaz+ helps the communication between staff and physicians and facilitates easy decision making4.
  • Compact design and rechargeable battery allow patients to become mobile very soon after surgery, which has been proven to shorten both patient recovery time and length of hospital stay.
  • Digital alarms alert ICU nurses if intervention is required.

Ref. 4: McGuire et al. Interactive CardioVascular and Thoracic Surgery 21 (2015) 403 -408

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Undrained mediastinal blood causes inflamatory processes
  • Studies show that undrained mediastinal blood triggers inflammation, which could be a contributing factor to the development of atrial fibrillation after cardiac surgery.
  • POAF has been linked to longer hospital stays, readmissions and, in some cases, death.
  • Efficient post-operative chest drainage could stop this reaction5.

Ref. 5: St-Onge et al. Ann Thorac Sug 2018;105:321-8

Thopaz+ efficiently drains the chest cavity after cardiac surgery
  • Thopaz+ for is a chest drain management solution that provides uninterrupted drainage of the chest cavity after cardiac surgery.
  • The electronic continuous drainage system ensures more efficient drainage. It is quick and easy to set up, extremely portable and the rechargeable battery allows maximum patient mobility.
  • Its silent operation can help to lower patient anxiety.
  •  With its variety of innovative features, using Thopaz+ means that wall suction in hospitals is no longer required for chest drainage after cardiac surgery1.

Ref.1: Barozzi et al. 64th European Society for Cardiovascular and Endovascular Surgery (ESCVS); 2015; 56, Supplement 1 No 2.

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Early mobilization has been proven to reduce length of hospital stay
  • The sooner a cardiac patient is mobilized, the lower the risk of post-operative complications6.
  • It has been proven that early mobilization of patients can prevent further open-heart surgery complications6.

Ref.6:Santos et al. Physiotherapy 2017; 103:1-12

Thopaz+ helps in mobilizing the patient after open-heart surgery.
  • Thopaz+ is lightweight, compact, battery-operated and comes with its own docking station.
  • The integrated suction source means patients are independent of wall suction and can be transported and ambulated with ease whilst efficient drainage takes place.
  • Through the double lumen tubing, Thopaz+ measures and regulates negative pressure close to the patient’s chest and allows for blockages to be cleared (fluid or particulate matter).
  • In the event that a blockage cannot be cleared, an alarm alerts the clinical staff.

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A chest drain bubbling in the ICU may have an intenstiy of 41 86 dB
  • Noise is an important factor to consider when treating cardiac patients.
  • Studies show that patient anxiety on the CCU is heightened, and the number of ventricular arrhythmias rose significantly during the “noisy” periods – defined as periods of noise greater than 55 dB7.
  • A chest tube bubbling in the ICU may have an intensity of 41–86 dB8.
  • For clinical staff, noise may complicate the performance of complex tasks, reduce accuracy and inhibit the capacity to respond to the unexpected.

Ref. 7: Hsu et al. JCOM 2012;19/7:301-309
Ref. 8: Kam et al, Anaesthesia, 1994;49:982-986

Thopaz+ operates quietly
  • Through the system’s programming, Thopaz+ provides suction only when required to maintain the set pressure.
  • The low sound level is ideal for ICU nurses and patients alike.
  • In a survey of postoperative chest drain-specific patient-related outcomes, patients treated with Thopaz+ reported better scores in all 20 questions asked9.

Ref. 9: Sihoe A. et al. (2019): Objective and Patient-Reported Outcomes after Lung Resection Surgery are  Improved by Digital Chest Drainage System compared to Water Seal System, Results from a Prospective Multicenter Database in China, presented at ESTS

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The longer the delay in re-exploration after cardiac surgery, the higher the mortality
  • Timing is essential: the longer the delay in re-exploration for excessive bleeding post cardiac surgery, the higher the mortality rate10.
  • Bleeding can lead to hemodynamic instability, which requires aggressive therapy.
  • The sooner cardiac patients are re-explored for bleeding and/or tamponade, the higher the survival rate and the shorter the patient’s stay in the hospital.

Ref.10: Canádyová et al. Interact cardiovasc Thorac Surg 2012; 14:704-8.

The Thopaz+ display and trending data are crucial to staff communication and decision-making
  • Continuous, real-time readings and historical chest tube air leak and fluid data are displayed in a readable manner on Thopaz+ and allow for improved assessment of chest tube management.
  • The digital data display helps decision makers pinpoint the optimal time for chest tube removal and allows them to objectively measure chest tube air leak, drained fluid and pressure.
  • This reduces inter-observer variability in the assessment of these indicators, and facilitates the monitoring of patients’ progress across departments4.
  • The alarm functions provide immediate alerts when urgent intervention is required.

Ref. 4: McGuire et al. Interactive CardioVascular and Thoracic Surgery 21 (2015) 403 -408

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The retention of chet tubes after post op day has_been described as common
  • In a publication, chest tubes were removed on average on day 1.4 (range: 1 to 7) after cardiac surgery.
  • 292 patients had their chest tubes retained after postoperative day 1.
  • The most common reason for retention was high output, followed by air leak, pneumothorax, critical condition, and pleural effusion.
  • Although the rates may vary from hospital to hospital, the detection of chest tube complications requires attentive and knowledgeable ICU staff11.

Ref. 11: McCormick et al. Ann Thorac Surg 2002; 74:2161 - 4.

Thopaz+ digital monitoring of fluid output, chest tube air leak and pressure
  • The digital data display on Thopaz+ helps decision makers pinpoint the optimal time for removal.
  • This allows them to objectively measure chest tube air leak, drained fluid and pressure, ensuring better inter-observer communication.

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Respiratory tract infections have been known to occur in as many as 10% of cardiac patients
  • To avoid respiratory tract infections, patients must mobilize early and be involved in coughing and incentive spirometry
  • For a patient with chest tubes, however, these efforts may prove too painful.
  • To minimize the patient’s pain as much as possible, and to avoid needing a secondary pleural puncture or complex nursing care, an early and short chest drain is recommended12.

Ref.12: Mueller et al. European Journal of Cardio-thoracic Surgery 2000;18:570-574

Thopaz+ reduces chest drain duration.
  • With an electronic chest tube drain management system that provides efficient and immediate drainage of the chest cavity, Thopaz+ allows the chest tube to be removed sooner, possibly reducing the hospital length of stay.
  • Thopaz+ improves patient recovery and patient mobility: the sooner the chest drain is removed, the sooner the patient can become mobile.

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ICU nurses experience a greater prevalence of ptsd
  • The reasons for the PTSD vary from treating adolescent patients to organizational dynamics13.
  • Many ICU nurses have to deal with increasing complexity in clinical caseloads and see themselves as solely responsible for delivering high-quality, in-depth care.
  • Underwater seal chest drainage units require large efforts to control correct suction, placement, and monitor air leak or fluid loss.
  • It is easy to miss an adverse situation that could lead to a deterioration of a patient's condition, and many nurses blame themselves.

Ref.13: Sanchez et al. The Journal of Heart and Lung Transplantation, Volume 38, Issue 4, Supplement, April 2019, Pages S93-S94

Thopaz+ reduces human error
  • Its portable size, autonomous battery operation for mobility of the patient, noiseless function, digital indications and alarms make Thopaz+ easy to use.
  • The alarm functions provide immediate alerts when urgent intervention is required.
  • The digital data display shows continuous, real-time readings, and historical air leak and fluid data are displayed in a readable manner. This reduces inter-observer variability in the assessment of these indicators and facilitates the monitoring of patients’ progress across departments.

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