PMID: 8607667Apr 1, 1996Paper

Use of the Heimlich valve to shorten hospital stay after lung reduction surgery for emphysema

The Annals of Thoracic Surgery
Robert J McKennaA F Gelb

Abstract

Prolonged air leak is the major complication after lung reduction surgery for emphysema and the major determinant of hospital length of stay. Twenty-five of 107 patients (24%) (mean age, 66 years) with an average forced expiratory volume in 1 second of 0.55 L experienced a prolonged air leak (>5 days) after lung reduction surgery. These persistent air leaks were treated by replacing the chest drainage system with Heimlich valves to facilitate earlier hospital discharge even though 64% of the patients had apical air spaces that measured 1 to 7 cm. These patients had a mean postoperative stay of 9.1 days. Chest tubes were then removed an average of 7.7 days later. All apical air spaces resolved, and there were no deaths, empyemas, or pneumonias. In conclusion, the use of the Heimlich valve after operation for emphysema was associated with minimal morbidity and shortened the mean hospital stay for patients with prolonged air leaks by 46%. This study demonstrates an important concept in the postoperative management of these patients--do not use suction on severely emphysematous lung.

References

Sep 1, 1988·Annals of Emergency Medicine·P ValleeM Tomlanovich
May 1, 1987·AJR. American Journal of Roentgenology·L M PerlmuttN R Dunnick
May 1, 1987·The Journal of Trauma·E J SchweitzerG M Graeber
Mar 1, 1968·Diseases of the Chest·H J Heimlich
Jul 1, 1981·American Journal of Surgery·W B CannonR W Jamplis
Jan 1, 1995·The Journal of Thoracic and Cardiovascular Surgery·J D CooperC L Roper
Feb 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·R J McKennaM J Schein

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Citations

May 9, 2003·The Annals of Thoracic Surgery·Thomas FabianRonald B Ponn
Dec 12, 2003·The Annals of Thoracic Surgery·Eric VallièresSteven C Springmeyer
Dec 5, 1997·The Annals of Thoracic Surgery·R B PonnJ A Federico
Feb 10, 1998·The Annals of Thoracic Surgery·R J Fischel, R J McKenna
May 9, 2000·The Annals of Thoracic Surgery·R Lodi, A Stefani
Jul 20, 2002·Home Healthcare Nurse·Patricia Carroll
Jan 23, 1998·Journal of Internal Medicine·G Hillerdal
Jun 1, 2000·Australian and New Zealand Journal of Medicine·S H PorterS Homan
Jan 8, 2014·Globalization and Health·Michael CottonLauren Hasek
Jul 8, 2005·Thoracic Surgery Clinics·Jules Lin, Mark D Iannettoni
May 30, 2009·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·H Dienemann
Jul 14, 2010·Thoracic Surgery Clinics·Federico VenutaGiorgio F Coloni
Jul 14, 2010·Thoracic Surgery Clinics·Robert E MerrittJoseph B Shrager
Aug 11, 2009·Thoracic Surgery Clinics·Joseph B ShragerSudish C Murthy
Jul 2, 2016·The Journal of Surgical Research·Ryan K SchmockerJustin D Blasberg
Dec 10, 2002·Chest Surgery Clinics of North America·David B LoranJoseph B Zwischenberger
Dec 10, 2002·Chest Surgery Clinics of North America·Thomas W RiceEugene H Blackstone
Dec 20, 2003·Chest Surgery Clinics of North America·Robert J McKenna
Mar 27, 2010·The Annals of Thoracic Surgery·Sunil SinghalJoseph B Shrager
Jul 24, 2007·The Annals of Thoracic Surgery·Karen M RiegerKenneth A Kesler
Nov 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·R J McKennaA F Gelb
May 19, 2012·The Surgical Clinics of North America·Christopher Guidry, Eugene D McGahren
Jul 14, 2004·Chest·Matt BrennerHenri Colt
Jun 1, 1997·Clinics in Chest Medicine·C A Keller, K S Naunheim
Jun 11, 1998·Mayo Clinic Proceedings·J P UtzC Deschamps
Jun 11, 2004·Journal of Intensive Care Medicine·Kenneth J WoodsideJoseph B Zwischenberger
Jul 27, 2012·Respiration; International Review of Thoracic Diseases·Stefano GaspariniChris T Bolliger
Jul 18, 2000·British Journal of Nursing : BJN·J Scullion
Sep 18, 2008·Jornal brasileiro de pneumologia : publicaça̋o oficial da Sociedade Brasileira de Pneumologia e Tisilogia·Nelson de Araujo VegaIvan Felizardo Contrera Toro
Feb 17, 2018·Asian Cardiovascular & Thoracic Annals·Ming-Ho Wu, Han-Yun Wu
Jan 1, 1997·Journal of Clinical Laser Medicine & Surgery·M BrennerA F Wilson
Dec 16, 1997·The Medical Journal of Australia·G I SnellJ A Smith

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