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Variability in paediatric cardiac postoperative chest tube management
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.
Abstract:
Limited evidence exists to guide chest tube management following cardiac surgery in children. We assessed chest tube practice variation by surveying paediatric heart centres to prepare for a multi-site quality improvement project. We summarised management strategies highlighting variability in criteria for chest tube removal between and within centres. This lack of standardisation provides an opportunity for quality improvement.
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Flail Chest-I
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...
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Chest Physiotherapy
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CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
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The range is a simple measure of variability, indicating the difference between the highest and...

