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Ann Thorac Surg 1975;19:261-268
© 1975 The Society of Thoracic Surgeons


Articles

Current Concepts in Thoracic Drainage Systems

Edward R. Munnell, M.D.*, E. Kent Thomas, M.D.

Departments of Surgery, Oklahoma City Clinic and the University of Oklahoma College of Medicine, Oklahoma City, Okla

* Address reprint requests to Dr. Munnell, 301 N.W. 12th St., Oklahoma City, Okla. 73103

Thoracic drainage systems are currently marketed in many varieties, resulting in significant cost and complicating patient management. Realistic needs have been identified from a survey of thoracic surgeons. These are: (1) clear plastic chest catheters with multiple drainage holes in sizes 28, 32, and 36F for adults and 16, 20, and 24F for infants and children; (2) serrated plastic connectors that can be sized at operation; (3) connecting tubes of clear plastic 6 feet long with a diameter of 1/2 inch; (4) a single graduated volume-collecting bottle of 1- to 2-liter capacity that can be emptied and marked, with a separate waterseal component and an associated manometer; and (5) a high-flow vacuum source. A drainage system with these characteristics should be safe, effective, simple, and less costly.




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