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Ann Thorac Surg 1988;45:101-102
© 1988 The Society of Thoracic Surgeons


Articles

An Enclosed System for Continuous Postoperative Mediastinal Aspiration

David R. Jobes, M.D.*, Susan C. Nicolson, M.D., John D. Pigott, M.D., William I. Norwood, M.D.

From the Departments of Anesthesia and Surgery, the Children's Hospital of Philadelphia and the University of Pennsylvania School of Medicine, Philadelphia, PA

Accepted for publication September 28, 1987.

* Address reprint requests to Dr. Jobes, Department of Anesthesia, The Children's Hospital of Philadelphia, One Children's Center, Philadelphia, PA 19104

Blockage of mediastinal drainage tubes in the postoperative cardiac surgical patient can result in tamponade, and the small child, with a necessarily small drainage tube, is particularly susceptible to instability arising from accumulating blood in the mediastinum. A system for continuous evacuation of blood in drainage tubes is described that decreases the likelihood of blocked tubes and resultant tamponade.




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