Comparison of the tube thoracostomy techniques on treatment in COVID-19 patients with pneumothorax

Yıl 2022, Cilt: 5 Sayı: 1, 306 - 312, 17.01.2022

Rezan Karaali Hasan Ersöz Pınar Yeşim Akyol Guner Yurtsever Fatih Topal

https://doi.org/10.32322/jhsm.1022398

Cited By: 1

Öz

Aim: Tube thoracostomy is an interventional procedure in which there is a high risk for the spread of COVID-19. In this study, we compare the tube thoracostomy procedures performed early on in the pandemic and those performed later after steps were taken in accordance with the new recommendations.
Material and Method: It is a retrospective and single-center study. COVID-19 patients with spontaneous pneumothorax with indications for tube thoracostomy presented to our emergency department between March 10, 2020, and March 31, 2021. Based on the applied tube techniques, two groups were defined; group 1, patients who underwent classical tube thoracostomy, group 2, patients who underwent tube thoracostomy with the recommended preventive measures for COVID-19. The collected data were compared between the two groups.
Results: 106 patients met the study criteria and were included in the study. The difference in the length of the tube duration time between the old or new technique was statistically significant (p < 0.05), no difference was identified in the duration of stay, intensive care unit admission, or mortality compared with the two techniques.
Conclusions: In this study, the new measures recommended for tube thoracostomy were found to be effective for the treatment of patients.

Anahtar Kelimeler

COVID-19, pneumothorax, tube thoracostomy, emergency

Kaynakça

• Sahn SA, Heffner JE. Spontaneous Pneumothorax. New Engl J Med 2000; 342: 868-74.
• Bilkhu R, Viviano A, Saftic I, Billè A. COVID-19: Chest Drains With Air Leak – The Silent ‘Super Spreader’? 2020. doi:10.25373/ctsnet.12089130
• Pieracci FM, Burlew CC, Spain D, et al. Tube thoracostomy during the COVID-19 pandemic: guidance and recommendations from the AAST Acute Care Surgery and Critical Care Committees. Trauma Surg Acute Care Open 2020; 5: ne000498.
• Ghoniem A, Abdellateef A, Osman AI, Elsayed HH, Elkhayat H, Adel W. A tentative guide for thoracic surgeons during COVID-19 pandemic. Cardiothorac Surg 2020; 28: 16.
• Yang X, Yu Y, Xu J, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study.Lancet Respir Med 2020; 8: 475-81.
• Chen N, Zhou M, Dong X, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020; 395: 507-13.
• Aiolfi A, Biraghi T, Montisci A, et al. Management of persistent pneumothorax with thoracoscopy and bleb resection in COVID-19 patients. Ann Thorac Surg 2020; 110: 413-5.
• Hallifax R, Wrightson J, Bibby, Walker S, Stanton A, Fonseka DD. Pleural services during the COVID-19 pandemic (V2.0). British Thoracic Society, 2020.
• Ceylan KC, Batihan G, Yazgan S, Gürsoy S, Kıraklı SC, Ataman S. Pleural complications in patients with coronavirus disease 2019 (COVID-19): how to safely apply and follow-up with a chest tube during the pandemic? Eur J Cardiothorac Surg 2020; 58: 1216-21.
• Wei PF. Diagnosis and treatment protocol for novel coronavirus pneumonia (Trial Version 7). Chin Med J (Engl) 2020; 133: 1087–95.
• Simpson S, Kay FU, Abbara S, et al. Radiological Society of North America Expert Consensus Statement on Reporting Chest CT Findings Related to COVID-19. Endorsed by the Society of Thoracic Radiology, the American College of Radiology, and RSNA. Radiology: Cardiothoracic Imaging 2020; 2: e200152.
• Gedik IE, Timuçin Alar T. Protective measures undertaken during chest tube thoracostomy in COVID-19 outbreak. Indian J Thorac Cardiovasc Surg 2021; 37: 211–4.
• Irons JF, Pavey W, Bennetts JS, Emily G, Elli T, Aubrey A. COVID-19 safety: aerosol-generating procedures and cardiothoracic surgery and anesthesia - Australian and New Zealand consensus statement. Med J Aust 2021; 214: 40-4.
• Miró O, Llorens P, Jiménez S, et al. Frequency, risk factors, clinical characteristics, and outcomes of spontaneous pneumothorax in patients with coronavirus disease 2019: a case-control, emergency medicine-based multicenter study. Chest 2021; 159: 1241-5.
• Martinelli AW, Ingle T, Newman J, et al. COVID-19 and pneumothorax: a multicentre retrospective case series. Eur Respir J 2020; 56: 2002697.
• Williamson EJ, Walker AJ, Bhaskaran K, et al. Factors associated with COVID-19-related death using Open SAFELY. Nature 2020; 584: 430-6.
• Zhou F, Yu T, Du R, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet 2020; 395: 1054-62.
• Harrison SL, Eynullayeva EF, Lane DA, Underhill P, Lip GYH. Comorbidities associated with mortality in 31,461 adults with COVID-19 in the United States: A federated electronic medical record analysis. PLoS Med 2020; 17: e1003321.
• Opal SM, Girard TD, Ely EW. The immunopathogenesis of sepsis in elderly patients. Clin Infect Dis2005; 41: 504–12.
• Aggarwal S, Telles NG, Aggarwal G, Lavie C, Lippi G, Henry BM. Clinical features, laboratory characteristics, and outcomes of patients hospitalized with coronavirus disease 2019 (COVID-19): Early report from the United States. Diagnosis (Berl) 2020; 7: 91-6.
• Liao D, Zhou F, Luo L, et al. Haematological characteristics and risk factors in the classification and prognosis evaluation of COVID-19: a retrospective cohort study. Lancet Haematol 2020; 7: e671-e8.
• Wu C, Chen X, Cai Y, et al. Risk factors associated with acute respiratory distress syndrome and death in patients with coronavirus disease 2019 pneumonia in Wuhan, China. JAMA Intern Med 2020; 180: 934-43.
• Carvalho EA, Oliveira MVB. Safety model for chest drainage in pandemic by COVID-19. Rev Col Bras Cir 2020; 47: e20202568.
• Duffy C, Kidd A, Francis S et al. BMJ Open Respir Res 2020; 7: e000710.