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

1 Barozzi L, Biagio LS, Faggian G, et al. Do We Still Need Wall Suction for Chest Drainage? 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.

2 Pereira KMFSM, de Assis CS, Cintra HNWL, et al. Factors Associated With the Increased Bleeding in the Postoperative Period of Cardiac Surgery: A Cohort Study. J Clin Nurs 2019;28(5–6):850–61.

3 Christensen MC, Krapf S, Kempel A, et al. Costs of Excessive Postoperative Hemorrhage in Cardiac Surgery. J Thorac Cardiovasc Surg 2009;138(3):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.

4 McGuire AL, Petrcich W, Maziak DE, et al. Digital versus analogue pleural drainage phase 1: prospective evaluation of interobserver reliability in the assessment of pulmonary air leaks. Interact Cardiovasc Thorac Surg 2015;21(4):403–7.

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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.

5 St-Onge S, Perrault L, Demers P et al. Pericardial Blood as a Trigger for Postoperative Atrial Fibrillation After Cardiac Surgery. Ann Thorac Surg 2018;150(1):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.
  • It is quick and easy to set up, extremely portable and the rechargeable battery allows maximum patient mobility.
  •  With its variety of innovative features, using Thopaz+ means that wall suction in hospitals is no longer required for chest drainage after cardiac surgery1.

1 Barozzi L, Biagio LS, Faggian G, et al. Do We Still Need Wall Suction for Chest Drainage? 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.

6 Santos PMR, Ricci NA, Suster ÉAB, et al. Effects of Early Mobilisation in Patients After Cardiac Surgery: A Systematic Review. Physiotherapy 2017;103(1):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 ICU is heightened, and the number of ventricular arrhythmias rose significantly during the “noisy” periods – defined as periods of noise greater than 55 dB(A)7.
  • A chest tube bubbling in the ICU may have an intensity of 41–86 dB(A)8.
  • For clinical staff, noise may complicate the performance of complex tasks, reduce accuracy and inhibit the capacity to respond to the unexpected.

7 Hsu T, Ryherd E, Waye KP, et al. Noise Pollution in Hospitals: Impact on Patients. Journal of Clinical Outcome Management 2012;19(7):301–9.

8 Kam PC, Kam AC, Thompson JF. Noise Pollution in the Anaesthetic and Intensive Care Environment. Anaesthesia 1994; 49(11):982–6.

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.

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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 rate9.
  • 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.

9 Čanádyová J, Zmeko D, Mokráček A. Re-exploration for Bleeding or Tamponade After Cardiac Operation. Interact Cardiovasc Thorac Surg 2012;14(6):704–7.

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.

4 McGuire AL, Petrcich W, Maziak DE, et al. Digital versus analogue pleural drainage phase 1: prospective evaluation of interobserver reliability in the assessment of pulmonary air leaks. Interact Cardiovasc Thorac Surg 2015;21(4):403–7.

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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 (nearly 30%) 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 staff10.

10 McCormick JT, O’Mara MS, Papasavas PK, et al. The Use of Routine Chest X-ray Films After Chest Tube Removal in Postoperative Cardiac Patients 2002;74(6):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 recommended11.

11 Mueller XM, Tinguely F, Tevaearai HT, et al. Impact of Duration of Chest Tube Drainage on Pain After Cardiac Surgery. Eur J Cardiothorac Surg 2000;18(5):570–4.

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.

Provide safer care after cardiac surgery

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ICU nurses experience a greater prevalence of ptsd
  • The reasons for the PTSD vary from treating adolescent patients to organizational dynamics12.
  • 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.

12 Sanchez M, Simon A, Ford D. PTSD in Tx ICU Nurses. J Heart Lung Transplant 2019;38(4):93–4.

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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