Variability in paediatric cardiac postoperative chest tube management

Related Experiment Video

Updated: Feb 5, 2026

A Rat Model of Ventricular Fibrillation and Resuscitation by Conventional Closed-chest Technique
09:47

A Rat Model of Ventricular Fibrillation and Resuscitation by Conventional Closed-chest Technique

Published on: April 26, 2015

16.4K

Anne C Taylor1, Katherine E Bates2, Alaina K Kipps1

  • 11Division of Pediatric Cardiology,Department of Pediatrics,Stanford University School of Medicine,Lucile Packard Children's Hospital at Stanford,Palo Alto,CA,USA.

Cardiology in the Young
|September 11, 2018
PubMed

Insights

Chest tube management after pediatric heart surgery lacks clear guidelines. Practices vary widely between and within centers, indicating a need for quality improvement initiatives to standardize care.

Area of Science:

  • Pediatric Cardiac Surgery
  • Thoracic Surgery
  • Critical Care Medicine

Background:

  • Evidence guiding chest tube management in pediatric cardiac surgery is limited.
  • Current practices lack standardization, impacting patient care and outcomes.

Purpose of the Study:

  • To assess variations in chest tube management practices across pediatric heart centers.
  • To identify opportunities for quality improvement in post-cardiac surgery chest tube care for children.

Main Methods:

  • Survey distributed to pediatric heart centers to gather data on chest tube management strategies.
  • Analysis of survey responses to summarize current practices and highlight areas of variability.

Main Results:

  • Significant variability observed in chest tube management criteria, particularly for tube removal.
  • Differences in practice exist both between different institutions and within individual centers.

Conclusions:

  • The lack of standardized chest tube removal criteria presents a significant opportunity for quality improvement.
  • Developing standardized protocols can enhance patient safety and optimize outcomes in pediatric cardiac surgery patients.

Keywords:
Chest tubepaediatric cardiothoracic surgeryquality improvement

More Related Videos

A Closed-chest Model to Induce Transverse Aortic Constriction in Mice08:10

A Closed-chest Model to Induce Transverse Aortic Constriction in Mice

Published on: April 5, 2018

20.2K
Biventricular Assessment of Cardiac Function and Pressure-Volume Loops by Closed-Chest Catheterization in Mice08:21

Biventricular Assessment of Cardiac Function and Pressure-Volume Loops by Closed-Chest Catheterization in Mice

Published on: June 15, 2020

5.0K

Related Concept Videos

Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
415
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
755
Flail Chest-I01:24

Flail Chest-I

Overview of Flail Chest
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
737
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
642
Chest Physiotherapy01:24

Chest Physiotherapy

Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
1.8K
Variability: Analysis01:11

Variability: Analysis

Measures of variability are statistical metrics that reveal the dispersion pattern within a dataset. They are pivotal in biostatistics, providing insights into the heterogeneity within health and biological data. Variability signifies the degree to which data points diverge from one another, helping researchers understand the potential range of values and associated uncertainty within the data.
The range is a simple measure of variability, indicating the difference between the highest and...
520