tetano
Editor, Senior Moderator
Eur J Cardiothorac Surg
. 2020 Nov 9;ezaa356.
doi: 10.1093/ejcts/ezaa356. Online ahead of print.
Pleural complications in patients with coronavirus disease 2019 (COVID-19): how to safely apply and follow-up with a chest tube during the pandemic?
Kenan Can Ceylan, Guntug Batihan[SUP] 1 [/SUP], Serkan Yazgan[SUP] 1 [/SUP], Soner G?rsoy[SUP] 1 [/SUP], Sami Cenk Kıraklı[SUP] 2 [/SUP], Sena Ataman[SUP] 2 [/SUP]
Affiliations
Abstract
Objectives: Severe acute respiratory syndrome coronavirus 2, a novel coronavirus, affects mainly the pulmonary parenchyma and produces significant morbidity and mortality. During the pandemic, several complications have been shown to be associated with coronavirus disease 2019 (COVID-19). Our goal was to present a series of patients with COVID-19 who underwent chest tube placements due to the development of pleural complications and to make suggestions for the insertion and follow-up management of the chest tube.
Methods: We retrospectively collected and analysed data on patients with laboratory-confirmed COVID-19 in our hospital between 11 March and 15 May 2020. Patients from this patient group who developed pleural complications requiring chest tube insertion were included in the study.
Results: A total of 542 patients who were suspected of having COVID-19 were hospitalized. The presence of severe acute respiratory syndrome coronavirus 2 was confirmed with laboratory tests in 342 patients between 11 March and 15 May 2020 in our centre. A chest tube was used in 13 (3.8%) of these patients. A high-efficiency particulate air filter mounted double-bottle technique was used to prevent viral transmission.
Conclusions: In patients with COVID-19, the chest tube can be applied in cases with disease or treatment-related pleural complications. Our case series comprised a small group of patients, which is one of its limitations. Still, our main goal was to present our experience with patients with pleural complications and describe a new drainage technique to prevent viral transmission during chest tube application and follow-up.
Keywords: Chest tube; Coronavirus disease 2019; Pleural complication; Severe acute respiratory syndrome coronavirus 2; Tube thoracostomy.
. 2020 Nov 9;ezaa356.
doi: 10.1093/ejcts/ezaa356. Online ahead of print.
Pleural complications in patients with coronavirus disease 2019 (COVID-19): how to safely apply and follow-up with a chest tube during the pandemic?
Kenan Can Ceylan, Guntug Batihan[SUP] 1 [/SUP], Serkan Yazgan[SUP] 1 [/SUP], Soner G?rsoy[SUP] 1 [/SUP], Sami Cenk Kıraklı[SUP] 2 [/SUP], Sena Ataman[SUP] 2 [/SUP]
Affiliations
- PMID: 33164094
- DOI: 10.1093/ejcts/ezaa356
Abstract
Objectives: Severe acute respiratory syndrome coronavirus 2, a novel coronavirus, affects mainly the pulmonary parenchyma and produces significant morbidity and mortality. During the pandemic, several complications have been shown to be associated with coronavirus disease 2019 (COVID-19). Our goal was to present a series of patients with COVID-19 who underwent chest tube placements due to the development of pleural complications and to make suggestions for the insertion and follow-up management of the chest tube.
Methods: We retrospectively collected and analysed data on patients with laboratory-confirmed COVID-19 in our hospital between 11 March and 15 May 2020. Patients from this patient group who developed pleural complications requiring chest tube insertion were included in the study.
Results: A total of 542 patients who were suspected of having COVID-19 were hospitalized. The presence of severe acute respiratory syndrome coronavirus 2 was confirmed with laboratory tests in 342 patients between 11 March and 15 May 2020 in our centre. A chest tube was used in 13 (3.8%) of these patients. A high-efficiency particulate air filter mounted double-bottle technique was used to prevent viral transmission.
Conclusions: In patients with COVID-19, the chest tube can be applied in cases with disease or treatment-related pleural complications. Our case series comprised a small group of patients, which is one of its limitations. Still, our main goal was to present our experience with patients with pleural complications and describe a new drainage technique to prevent viral transmission during chest tube application and follow-up.
Keywords: Chest tube; Coronavirus disease 2019; Pleural complication; Severe acute respiratory syndrome coronavirus 2; Tube thoracostomy.