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Chest drainage – physiological and pathophysiological aspects and indications


Authors: T. Bohanes;  M. Szkorupa
Authors place of work: I. chirurgická klinika LF UP a FN Olomouc, přednosta: doc. MUDr. Č. Neoral, CSc.
Published in the journal: Rozhl. Chir., 2013, roč. 92, č. 11, s. 662-665.
Category: Various Specialization

Summary

Introduction:
Interventions in the chest region still remain a source of concern for the medical community. Surgeons in particular, however, should be well familiar with this technique as it is them who perform the majority of these drainages.

Objective:
The aim of the article is to give an outline of the physiology and pathophysiology of respiration in relation to the chest drainage indication, and to discuss the different indications for this type of drainage.

Conclusion:
Chest drainage is, in case of correct indication and performance, a safe method of therapy for a number of pleural pathologies. It is necessary to consider its employment on a case-by-case basis because it is always essential to assess its benefits versus risks.

Keywords:
chest drainage – chest drain – physiology of respiration – indication of chest drainage – pneumothorax – pleural effusion – haemothorax


Zdroje

1. Jaffé A, Cohen G. Thoracic empyema. Arch Dis Child 2003;88:839–841.

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3. McCallum JE. Military medicine: From ancient times to the 21st century. Santa Barbara, ABC-CLIO 2008:70–72.

4. Stolz A, Pafko P, et al. Komplikace v plicní chirurgii. Praha, Grada Publishing, 2010.

5. Büllau H. Für die Heber-Drainage bei Behandlung des Empyems. Ztschr Klin Med 1891;18:31.

6. Guyton AC, Hall JE. Chapter 38. Pulmonary circulation, pulmonary edema, pleural fluid. In: Guyton AC, Hall JE. Textbook of medical physiology. Philadelphia, Elsevier Inc. 2006:483–489.

7. Hrachovina V, Marešová D. Fyziologie dýchání. In: Trojan S, Langmeier M (eds). Lékařská fyziologie. Praha, Grada Publishing 2003:295–312.

8. Ganong WF. Přehled lékařské fyziologie. 20ed. Praha, Galén 2005.

Štítky
Surgery Orthopaedics Trauma surgery
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