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HERDIN Record #: PCHRD072109120700 Submitted: 21 July 2009

The use of Jackson Pratt drain following open heart surgery.

Jonathan R. Alo

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Study objective ÃÆ'Æ'Æ’ÃÆ'‚¢ÃÆ'Æ'¢ÃÆ'¢â‚¬Ã...¡ÃÆ'‚¬ÃÆ'Æ'¢ÃÆ'¢â€Ã...¡Ã‚¬ÃÆ'‚ To determine the usefulness of Jackson Pratt drain as adjunct to the conventional semi-rigid mediastinal tube in an adult population after cardiac surgery.

Design ÃÆ'Æ'Æ’ÃÆ'‚¢ÃÆ'Æ'¢ÃÆ'¢â‚¬Ã...¡ÃÆ'‚¬ÃÆ'Æ'¢ÃÆ'¢â€Ã...¡Ã‚¬ÃÆ'‚ A prospective cohort study of adult patients who underwent cardiac surgery with cardiopulmonary bypass at the Philippine Heart Center from January 1, 2007 to March 31, 2007.

Patient and intervention ÃÆ'Æ'Æ’ÃÆ'‚¢ÃÆ'Æ'¢ÃÆ'¢â‚¬Ã...¡ÃÆ'‚¬ÃÆ'Æ'¢ÃÆ'¢â€Ã...¡Ã‚¬ÃÆ'‚ A total of 165 patients underwent open-heart surgery in our institution. Postoperative pericardial decompression was undertaken using a semi-rigid tube plus a Jackson-Pratt draining tube in the intervention group (Group A) and a semi-rigid tube alone in the control group (Group B). Data were analyzed as to the age of the patient, weight, operative procedure done, total cross-clamp and total bypass time, total amount of drainage, average time of tube removal, length of postoperative stay, appearance of postoperative chest radiographs and echocardiograms, and need for further drainage from pericardial spaces.

ResultÃÆ'Æ'Æ’ÃÆ'‚¢ÃÆ'Æ'¢ÃÆ'¢â‚¬Ã...¡ÃÆ'‚¬ÃÆ'Æ'¢ÃÆ'¢â€Ã...¡Ã‚¬ÃÆ'‚ One hundred sixty-five patients were included in the study. Male to female ratio is 105:60. Sixty-seven (40.61 percent) patients under Group A (Intervention Group) received the semi-rigid tubes plus a Jackson-Pratt drain placed in the retrocardial space and 98(59.39 percent) patients under Group B ( Control group) only had the semi-rigid tube. There were more males operated for cardiac surgery, 38(23 percent) were in group A and 67(40.61 percent) in group B while there were only 29(17.6 percent) females in group A and 31(18.79 percent) in group B. Chi-square test showed no significant diffence in gender in between the two groups. The difference in between the two groups in age, weight, length of hospital and postoperative stay, number of days with semi-rigid tubes, total chest tube output, bypass time and cross-clamp time were not significant. Pericardial effusion occurred in 15(9 percent) patients and was more common on the patients who underwent valve replacement. Majority of these were classified under minimal pericardial effusion. Although more common on group B, the differeace was not significant.

Conclusion ÃÆ'Æ'Æ’ÃÆ'‚¢ÃÆ'Æ'¢ÃÆ'¢â‚¬Ã...¡ÃÆ'‚¬ÃÆ'Æ'¢ÃÆ'¢â€Ã...¡Ã‚¬ÃÆ'‚ No significant differences were noted in the occurrence of pericardial effusion in patients drained with conventional semi-rigid tubes as compared to the semi-rigid tubes plus the Jackson-Pratt drains after cardiac operations. Though not statistically significant, there may actually be an advantage of Jackson-Pratt drains over conventional chest tubes in this regard. There was also no significant difference in the type of surgical procedure, total bypass and cross clamp time, amount of drainage, number of days with the semi-rigid tubes, length of postoperative stay, and length of hospital stay and incidence of postoperative pleural effusions.

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
Philippine Heart Center Journal
Frequency
Others
Publication Date
January-March 2007
Volume
13
Issue
1
Page(s)
28-33

Objectives

To determine the usefulness of Jackson Pratt drain as adjunct to the conventional semi-rigid mediastinal tube in an adult population after cardiac surgery.

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Philippine Council for Health Research and Development Library Abstract Print Format (Request Document)
 

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