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Related Experiment Videos

A method for mediastinal drainage after cardiac procedures using small silastic drains.

J A Obney1, M J Barnes, P G Lisagor

  • 1Department of Cardiothroacic Surgery, Brooke Army Medical Center, Fort Sam Houston, San Antonio, Texas 78234, USA. seamusmd@aol.com

The Annals of Thoracic Surgery
|October 4, 2000
PubMed
Summary

Flexible Blake drains offer a less painful and more effective alternative to traditional large-bore chest tubes for mediastinal drainage after cardiac surgery. This innovation allows for earlier patient discharge with comparable safety and efficacy.

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Area of Science:

  • Cardiovascular Surgery
  • Thoracic Drainage Techniques

Background:

  • Traditional teaching favors rigid, large-bore chest tubes for mediastinal drainage post-cardiac surgery.
  • Less invasive surgical approaches are increasingly adopted in cardiac surgery.
  • Smaller flexible drains have proven effective for various abdominal collections and chest drainage by interventional radiologists.

Purpose of the Study:

  • To evaluate the efficacy and safety of using flexible, fluted Blake drains for mediastinal drainage in cardiac surgery.
  • To compare Blake drains with standard large-bore chest tubes in terms of outcomes and patient experience.

Main Methods:

  • Implementation of 10-mm flexible, flat, fluted Blake drains for mediastinal drainage.
  • Application in over 100 cardiac surgical procedures, including coronary artery bypass grafting, valve operations, heart transplants, and tumor resections.

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Main Results:

  • Blake drains demonstrated comparable efficacy to large-bore chest tubes, with no increased risk of bleeding or cardiac tamponade.
  • Patients experienced less pain, improved mobility, and facilitated earlier discharge with functioning drains.

Conclusions:

  • Flexible fluted drains provide adequate mediastinal drainage, challenging the necessity of larger rigid tubes.
  • The larger surface area of Blake drains may enhance drainage efficiency compared to traditional chest tube sideholes.
  • This flexible drainage system presents a viable alternative to standard chest tubes in cardiac surgery.