Implementation of a user-friendly protocol for interpretation of air-leaks and management of intercostal chest drains after thoracic surgery

Interact Cardiovasc Thorac Surg. 2003 Sep;2(3):251-5. doi: 10.1016/S1569-9293(03)00054-9.

Abstract

We prospectively audited the implementation of a protocol for management of air-leaks and intercostal drains after thoracic surgical procedures. Out of the 99 patients who underwent thoracic surgical procedures during a 3-month period, 41 presented a postoperative air-leak on day 1. The protocol was strictly followed in 95% of the cases. The median drainage-time and hospital-stay were 3 and 4 days, respectively. The incidence of insertion of postoperative drains was 3%. Most of the nursing staff found the protocol user-friendly and easy to apply. A protocol for the management of postoperative air-leaks and intercostal drains can be implemented with high-compliance low complications.