The Redax® Coaxial Drain in pulmonary lobectomy: a study of efficacy

Abstract

Background: Pleural drainage is required after pulmonary lobectomy to evacuate air-leak and fluid. We Results: No differences were recorded in post-operative morbidity and mortality rates. Fluid drainage rates on POD0 were significantly higher in CD group (73% vs. 48%; P=0.004); air-leak occurrence was similar in both groups and no differences were recorded in terms of tension pneumothorax or increasing subcutaneous emphysema rates; VAS score was lower for CD when compared with CT and it reached significant difference in the subgroups of patients operated on by VATS; no cases of occlusion at removal were recorded in CD patient. Conclusions:Redax ® CD is safe and efficient in air-leak and fluid evacuation; due to its design and constituting material it is superior to standard CTs in terms of fluid evacuation rate and patient postoperative comfort.

Coaxial Drainage Versus Standard Chest Tube After Pulmonary Lobectomy: A Randomized Controlled Study

“…Despite that, the majority of institutions still prefer to insert two tubes to optimize uid and air drainage (11,12). Tube clotting is observed in up to 5.8% of the patients with one chest tube (5,13). Other complications are loculated pleural effusion and ine cient uid drainage of the costophrenic angle.…”

“…1); this conformation allows to drain air and effusions along the entire length of the tube. Safety of this device has been recently reported with a retrospective study (5).…”

Application of the coaxial smart drain in patients with a large air leak following anatomic lung resection: a prospective multicenter phase II analysis of efficacy and safety

“…Furthermore, it is well known that due to their size and rigidity, stiff drains may obstacle early mobilization, deep breathing and aggravate pain at removal. As matter of fact, the grooved surface of the silastic drain allows a constant suction (by capillary action), over the whole corrugated portion of the tube (18)(19)(20). Moreover, flexible drains are described as more comfortable for the patient and less painful at their removal (7,9,10).…”

“…In our cohort of patients with large air leak after lung resections, objectively assessed by a digital drainage system, we did not experience any complication due to the drain such as dislodgment, occlusion, pneumothorax or unrecognized bleeding requiring an additional chest tube insertion. This was presumably related to the addition of the non-collapsible internal coaxial lumen within the corrugated profile allowing an optimal fluid and air evacuation and preventing kinking and occlusion of the tube (18).…”

“…The median duration of chest tubes was 13 days (IQR, [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] and the longest duration of the coaxial drain was 35 days. The median duration of air leak was 9 days (IQR, 2-17.5).…”