The importance of intrapericardial drain selection in cardiac surgery

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dc.authoridSunar, Hasan/0000-0002-1276-8549
dc.authoridOzalp, Bilhan/0000-0002-3356-6014
dc.authoridCIKIRIKCIOGLU, MUSTAFA/0000-0003-1143-347X
dc.authorwosidSunar, Hasan/A-8685-2018
dc.authorwosidOzalp, Bilhan/N-3364-2014
dc.contributor.authorEge, T
dc.contributor.authorTatli, E
dc.contributor.authorCanbaz, S
dc.contributor.authorCikirikcioglu, M
dc.contributor.authorSunar, H
dc.contributor.authorOzalp, B
dc.contributor.authorDuran, E
dc.date.accessioned2024-06-12T10:52:48Z
dc.date.available2024-06-12T10:52:48Z
dc.date.issued2004
dc.departmentTrakya Üniversitesien_US
dc.description.abstractIntroduction: To explore the impact of intrapericardial and infracardiac drains on pericardial effusions in cardiac surgery. Materials and methods: Patients undergoing coronary artery bypass grafting were randomized into two groups. At the end of the intervention, an intrapericardial and infracardiac Blake drain was placed in patients in group 1 (n = 97), and an intrapericardial and infracardiac semirigid drain was placed in patients in group 2 (n = 105). In addition, a semirigid drain was placed into mediastinum in all cases. The amount of drainage was calculated at six different time points postoperatively: postoperative 0 to 2 h, postoperative 2 to 4 h, postoperative 4 to 6 h, postoperative 6 to 12 h, postoperative 12 to 24 h, and postoperative 24 to 48 h. The amount of pericardial effusion was estimated by transthoracic echocardiography after the drains were removed. Results: In all measurements, the amount of drainage from intrapericardial Blake drains was higher, the total amount of drainage being equal to 330.7 +/- 29.4 mL and 193.2 +/- 19.6 mL in the Blake drain and semirigid drain groups, respectively (p = 0.000) [mean +/- SD]. When the drains were removed, the volume of pericardial effusion was 3.86 +/- 0.76 mm in Blake drain group and 7.59 +/- 1.16 mm in semirigid drain group (p = 0.000). The incidence of postoperative atrial fibrillation was 11.3% in the group with Blake drains, and 23.8% in the group with semirigid drains (p = 0.016). Conclusion: The more effective drainage obtained with infracardiac Blake drains compared to semirigid drains helps to reduce the amount of postoperative pericardial effusion and the risk of atrial fibrillation.en_US
dc.identifier.doi10.1378/chest.126.5.1559
dc.identifier.endpage1562en_US
dc.identifier.issn0012-3692
dc.identifier.issn1931-3543
dc.identifier.issue5en_US
dc.identifier.pmid15539727en_US
dc.identifier.scopus2-s2.0-8744296037en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1559en_US
dc.identifier.urihttps://doi.org/10.1378/chest.126.5.1559
dc.identifier.urihttps://hdl.handle.net/20.500.14551/18843
dc.identifier.volume126en_US
dc.identifier.wosWOS:000225214700031en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.ispartofChesten_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAtrial Fibrillationen_US
dc.subjectBlake Drainen_US
dc.subjectPericardial Effusionen_US
dc.subjectSupra-Ventricular Arrhythmiasen_US
dc.subjectPosterior Pericardiotomyen_US
dc.subjectAtrial-Fibrillationen_US
dc.subjectEffusionen_US
dc.subjectImpacten_US
dc.titleThe importance of intrapericardial drain selection in cardiac surgeryen_US
dc.typeArticleen_US

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