Effect of pleural drain positioning on pulmonary function, lung capacity, and respiratory muscle strength in the postoperative period of coronary artery bypass grafting: a systematic review
DOI:
https://doi.org/10.33448/rsd-v11i3.26880Keywords:
Coronary Artery Bypass; Pleural Drain; Pulmonary function tests.Abstract
Objective: to verify the effect of pleural drain positioning on pulmonary function, respiratory muscle strength, and functional capacity of patients in the immediate postoperative period of coronary artery bypass grafting. Methodology: Systematic review with search of articles in MEDLINE (via PubMed), Cochrane Central, LILACS, Scielo, CINAHL and Scopus databases, with no restriction as to publication date or language. The methodological quality of the studies was assessed based on the Cochrane Risk of Bias Tool. Results: The search strategy resulted in 95 titles, of which seven were included in this review, totaling 313 participants, including both genders and ages between 35 and 80 years. The endpoints found in the studies were lung function, respiratory muscle strength, functional capacity, pain, and pulmonary complications. Conclusion: The subxiphoid pleural drain seems to cause less reduction in lung function, while the effects on respiratory muscle strength and pulmonary complications are still conflicting.
References
Ali-hassan-sayegh, S., Jalil, S., Vahabzadeh, V., & Ghaffari, N. (2014). Should the integrity of the pleura during internal mammary artery harvesting be preserved ?, 19(July), 838–847. https://doi.org/10.1093/icvts/ivu254
Cancio, A. S. A., Guizilini, S., Bolzan, D. W., Dauar, R. B., Succi, J. E., de Paola, A. A. V., … Gomes, W. J. (2012). Dreno pleural subxifoide confere menor comprometimento da força muscular respiratória, oxigenação e menor dor torácica após cirurgia de revascularização do miocárdio sem circulação extracorpórea: Estudo controlado randomizado. Brazilian Journal of Cardiovascular Surgery, 27(1), 103–109. https://doi.org/10.5935/1678-9741.20120015
Giacoppo, D., Colleran, R., Cassese, S., Frangieh, A. H., Wiebe, J., Joner, M., … Byrne, R. A. (2017). Percutaneous Coronary Intervention vs Coronary Artery Bypass Grafting in Patients With Left Main Coronary Artery Stenosis A Systematic Review and Meta-analysis. JAMA Cardiology, 2(10), 1079–1088. https://doi.org/10.1001/jamacardio.2017.2895
Guden, M., Korkmaz, A. A., Onan, B., Onan, I. S., Tarakci, S. I., & Fidan, F. (2012). Subxiphoid versus Intercostal Chest Tubes, 507–512.
Guizilini, S., Alves, D. F., Bolzan, D. W., Cancio, A. S. A., Regenga, M. M., Moreira, R. S. L., … Gomes, W. J. (2014). Sub-xyphoid pleural drain as a determinant of functional capacity and clinical results after off-pump coronary artery bypass surgery : a randomized clinical trial. Interactive CardioVascular and Thoracic Surgery, 19(June), 382–387. https://doi.org/10.1093/icvts/ivu138
Guizilini, S., Bolzan, D. W., Faresin, S. M., Alves, F. A., & Gomes, W. J. (2010). Original Article Ministernotomy in Myocardial Revascularization Preserves Postoperative Pulmonary Function, 587–593.
Guizilini, S., Gomes, W. J., Faresin, S. M., Bolzan, D. W., Buffolo, E., Carvalho, A. C., & De Paola, A. A. V. (2007). Influence of Pleurotomy on Pulmonary Function After Off-Pump Coronary Artery Bypass Grafting. Annals of Thoracic Surgery, 84(3), 817–822. https://doi.org/10.1016/j.athoracsur.2007.04.062
Guizilini, S., Gomes, W. J., Faresin, S. M., Carvalho, A. C. C., Jaime, I., Alves, F. A., … Buffolo, E. (2004). Effects of the pleural drain site on the pulmonary function after coronary artery bypass grafting, 19(1), 47–54.
Guizilini, S., Viceconte, M., Tavares, G., Esperança, M., Bolzan, W., Vidotto, M., … Gomes, W. J. (2014). Pleural subxyphoid drain confers better pulmonary function and clinical outcomes in chronic obstructive pulmonary disease after off-pump coronary artery bypass grafting : a randomized controlled trial. Rev Bras Cir Cardiovasc, 29(4), 588–594. https://doi.org/10.5935/1678-9741.20140047
Gullu, A. U., Ekinci, A., Sensoz, Y., Kızılay, M., Senay, S., Arnaz, A., … Akcar, M. (2009). Preserved Pleural Integrity Provides Better Respiratory Function and Pain Score after Coronary Surgery. J Card Surg, 24(4), 374–378. https://doi.org/10.1111/j.1540-8191.2008.00734.x
Hagl, C., Harringer, W., Gohrbandt, B., & Haverich, A. (1999). Site of Pleural Drain Insertion and Early Postoperative Pulmonary Function Following Coronary Artery Bypass Grafting With Internal Mammary Artery *. CHEST, 115(3), 757–761. https://doi.org/10.1378/chest.115.3.757
Herdy, A. H., Marcchi, P. L. B., Vila, A., Tavares, C., Collac, J., Niebauer, J., & Ribeiro, J. P. (2008). Pre- and Postoperative Cardiopulmonary Rehabilitation in Hospitalized Patients Undergoing Coronary Artery Bypass Surgery: A Randomized Controlled Trial. Am. J. Phys. Med. Rehabil, 87(9), 714–719. https://doi.org/10.1097/PHM.0b013e3181839152
Higgins, J. P. T., Altman, D. G., Gøtzsche, P. C., Jüni, P., Moher, D., Oxman, A. D., … Sterne, J. A. C. (2011). The Cochrane Collaboration ’ s tool for assessing risk of bias in randomised trials. BMJ, 343(d5928), 1–9. https://doi.org/10.1136/bmj.d5928
Hirschhorn, A. D., Richards, D. A. B., Mungovan, S. F., Morris, N. R., & Adams, L. (2012). Does the mode of exercise in fl uence recovery of functional capacity in the early postoperative period after coronary artery bypass graft surgery ? A randomized controlled trial. Interactive CardioVascular and Thoracic Surgery, 15(September), 995–1003. https://doi.org/10.1093/icvts/ivs403
Mueller, X. M., Tinguely, F., Tevaearai, H. T., Segesser, L. K. Von, Revelly, J., Chioléro, R., & Segesser, L. K. von. (2000). Pain Pattern and Left Internal Mammary Artery Grafting. The Annals of Thoracic Surgery, 10(7), 2045–2049.
Page, M. J., Mckenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, C., Mulrow, C. D., … Moher, D. (2021). The PRISMA 2020 statement : an updated guideline for reporting systematic reviews Systematic reviews and Meta-Analyses. BMJ, 372(71), 1–9. https://doi.org/10.1136/bmj.n71
Reynolds, A. C., & King, N. (2001). Hybrid coronary revascularization versus conventional coronary artery bypass grafting: Systematic review and meta-analysis. Medicine, 97(33), 1–8.
Sadeghi, M. M., Pourazari, P., & Akbari, M. (2017). Comparison consequences of Jackson ‑ Pratt drain versus chest tube after coronary artery bypass grafting : A randomized controlled clinical trial, 1–5. https://doi.org/10.4103/jrms.JRMS
Sensoz, Y., Gunay, R., Tuygun, A. K., Balci, A. Y., Sahin, S., & Yekeler, I. (2011). Computed tomography evaluation of different chest tube sites for residual pleural volumes after coronary artery bypass surgery. Ann Saudi Med, 31(August), 5–7. https://doi.org/10.4103/0256-4947.83216
Simon, S., Coronel, C., Almeida, A. S. de, & Marcadenti, A. (2019). Left lateral intercostal region versus subxiphoid position for pleural drain during elective coronary artery bypass graft surgery : randomized clinical trial. Sao Paulo Medical Journal, 137(1), 66–74. https://doi.org/10.1590/1516-3180.2018.040940119
Taggart, D. P., Altman, D. G., Gray, A. M., Lees, B., Nugara, F., Yu, L. M., & Flather, M. (2014). Effects of on-pump and off-pump surgery in the arterial revascularization trial. European Journal of Cardio-Thoracic Surgery, 47(6), 1059–1065. https://doi.org/10.1093/ejcts/ezu349
Vieira, I. B. C. O., Vieira, F. F., Abrão, J., & Gastaldi, A. C. (2012). Influence of pleural drain insertion in lung function of patients udergoing coronary artery bypass grafting. Revista Brasileira de Anestesiologia, 62(5), 696–708.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2022 Débora Sidrônio Caetano; Pedro Henrique de Moura; Ana Eugênia Vasconcelos do Rêgo Barros; Claudia Regina da Silva Araújo; Maria Inês Remígio de Aguiar; Arméle de Fátima Dornelas de Andrade; Shirley Lima Campos; Daniella Cunha Brandão
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.