So in conclusion, chest tube duration following lung resection in children is typically brief with removal within one to two days post-operatively. And we further postulate that avoidance of chest tube placement may reduce post-operative pain and hospital length of stay.
Plural drainage is nearly universally practiced in pediatric patients following lung resection. And it's often associated with increased pain, anxiety, subjecting the patients to additional chest X-rays and may even prolong hospitalizations.
Journal of Pediatric Surgery Article Review: July 2023, PAPS Issue
▶Ep 41 · 4:12
clinicalIn lobectomy patients (group 1), 75% had no air leak and median chest tube duration was 2 days.↗
▶Ep 41 · 4:48
clinicalMost chest tubes were removed on the first day after surgery and a majority of patients did not have an air leak.↗
▶Ep 41 · 4:48
quoteYeah, I actually was pretty surprised that most chest tubes were removed on the first day after surgery, and a majority of those patients did not have an air leak either. And so the question that raises in my mind is, did they need the tube at all?↗
▶Ep 41 · 4:48
quoteYeah, I actually was pretty surprised that most chest tubes were removed on the first day after surgery, and a majority of those patients did not have an air leak either. And so the question that raises in my mind is, did they need the tube at all?↗
Jamie's statements about Pilonidal Disease1 statement
Journal of Pediatric Surgery Article Review: July 2023, PAPS Issue
▶Ep 7 · 4:48
quoteYeah, I actually was pretty surprised that most chest tubes were removed on the first day after surgery, and a majority of those patients did not have an air leak either. And so the question that raises in my mind is, did they need the tube at all?↗
Jamie's statements about Spontaneous Pneumothorax20 statements
BOB Ped Surg 2023 - Jamie Schnuck, PAPS - Presentation
▶Ep 14 · 0:30
quotePlural drainage is nearly universally practiced in pediatric patients following lung resection. And it's often associated with increased pain, anxiety, subjecting the patients to additional chest X-rays and may even prolong hospitalizations.↗
▶Ep 14 · 0:30
clinicalPleural drainage is nearly universally practiced in pediatric patients following lung resection↗
▶Ep 14 · 0:45
clinicalChest tube placement is often associated with increased pain, anxiety, subjecting patients to additional chest X-rays and may prolong hospitalizations↗
▶Ep 14 · 1:15
quoteWe sought to clarify the utility of routine chest tube placement during pulmonary wedge resection or lobectomy in pediatric patients and ultimately guide development of a protocolized approach to eliminate routine plural drainage and select patients undergoing lung resection altogether.↗
▶Ep 14 · 2:00
epidemiological130 procedures at one academic children's hospital met inclusion criteria for the study↗
▶Ep 14 · 3:00
epidemiologicalIn lobectomy patients (n=59), nearly 75% did not have an air leak noted post-operatively↗
▶Ep 14 · 3:15
epidemiologicalMedian chest tube duration in lobectomy patients was two days regardless of air leak presence↗
▶Ep 14 · 3:45
epidemiologicalIn diagnostic wedge resection patients (n=19), nearly 90% did not have an air leak noted post-operatively↗
▶Ep 14 · 4:00
epidemiologicalMedian chest tube duration in diagnostic wedge resection patients was one day↗
▶Ep 14 · 4:10
epidemiologicalIn diagnostic wedge resection patients with documented air leak, the leak lasted only one day and chest tubes were removed on post-op day two↗
▶Ep 14 · 4:30
epidemiologicalIn excisional wedge resection patients (n=52), 80% did not have an air leak noted post-operatively↗
▶Ep 14 · 4:45
epidemiologicalMedian chest tube duration in excisional wedge resection patients was one day↗
▶Ep 14 · 4:55
epidemiologicalIn excisional wedge resection patients with air leak (n=10), median chest tube duration was two days↗
▶Ep 14 · 5:10
epidemiologicalOverall, 43% of patients had their chest tube removed on post-op day one↗
▶Ep 14 · 5:20
epidemiological22% of patients had their chest tube removed on post-op day two↗
▶Ep 14 · 5:28
epidemiologicalA quarter of patients had their chest tube left in place for a documented air leak↗
▶Ep 14 · 5:38
epidemiological35% of patients had their chest tube removed on post-op day three or later↗
▶Ep 14 · 5:50
quoteSo in conclusion, chest tube duration following lung resection in children is typically brief with removal within one to two days post-operatively. And we further postulate that avoidance of chest tube placement may reduce post-operative pain and hospital length of stay.↗
▶Ep 14 · 5:50
clinicalChest tube duration following lung resection in children is typically brief with removal within one to two days post-operatively↗
▶Ep 14 · 6:05
opinionAvoidance of chest tube placement may reduce post-operative pain and hospital length of stay↗
Summaries Jamie gave as host
· 5 summaries
Recaps of other experts' statements, not Jamie's own clinical position.
Summaries Jamie gave as host · Pectus Excavatum2 summaries
Journal of Pediatric Surgery Article Review: July 2023, PAPS Issue
▶Ep 41 · 4:12
host summaryJamie Schnuck summarizing the discussion: In lobectomy patients (group 1), 75% had no air leak and median chest tube duration was 2 days.↗
▶Ep 41 · 4:48
host summaryJamie Schnuck summarizing the discussion: Most chest tubes were removed on the first day after surgery and a majority of patients did not have an air leak.↗
Summaries Jamie gave as host · Pilonidal Disease2 summaries
Journal of Pediatric Surgery Article Review: July 2023, PAPS Issue
▶Ep 7 · 4:12
host summaryJamie Schnuck summarizing the discussion: In lobectomy patients (group 1), 75% had no air leak and median chest tube duration was 2 days.↗
▶Ep 7 · 4:48
host summaryJamie Schnuck summarizing the discussion: Most chest tubes were removed on the first day after surgery and a majority of patients did not have an air leak.↗
Summaries Jamie gave as host · Spontaneous Pneumothorax1 summary
BOB Ped Surg 2023 - Jamie Schnuck, PAPS - Presentation
▶Ep 14 · 1:00
host summaryJamie Schnuck summarizing a resource: In adult literature, elimination of routine chest tubes is part of enhanced recovery after surgery (ERAS) pathways in select patients↗
