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Pleural complications in patients with coronavirus disease 2019 (COVID-19): how to safely apply and follow-up with a chest tube during the pandemic?
Ceylan, Kenan Can; Batihan, Guntug; Yazgan, Serkan; Gürsoy, Soner; Kirakli, Sami Cenk; Ataman, Sena.
  • Ceylan KC; Department of Thoracic Surgery, University of Health Sciences Turkey, Dr Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, Izmir, Turkey.
  • Yazgan S; Department of Thoracic Surgery, University of Health Sciences Turkey, Dr Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, Izmir, Turkey.
  • Gürsoy S; Department of Thoracic Surgery, University of Health Sciences Turkey, Dr Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, Izmir, Turkey.
  • Kirakli SC; Department of Chest Diseases, University of Health Sciences Turkey, Dr Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, Izmir, Turkey.
  • Ataman S; Department of Chest Diseases, University of Health Sciences Turkey, Dr Suat Seren Chest Diseases and Chest Surgery Training and Research Hospital, Izmir, Turkey.
Eur J Cardiothorac Surg ; 58(6): 1216-1221, 2020 12 01.
Article in English | MEDLINE | ID: covidwho-915869
ABSTRACT

OBJECTIVES:

Severe acute respiratory syndrome coronavirus 2, a novel coronavirus, affects mainly the pulmonary parenchyma and produces significant morbidity and mortality. During the pandemic, several complications have been shown to be associated with coronavirus disease 2019 (COVID-19). Our goal was to present a series of patients with COVID-19 who underwent chest tube placements due to the development of pleural complications and to make suggestions for the insertion and follow-up management of the chest tube.

METHODS:

We retrospectively collected and analysed data on patients with laboratory-confirmed COVID-19 in our hospital between 11 March and 15 May 2020. Patients from this patient group who developed pleural complications requiring chest tube insertion were included in the study.

RESULTS:

A total of 542 patients who were suspected of having COVID-19 were hospitalized. The presence of severe acute respiratory syndrome coronavirus 2 was confirmed with laboratory tests in 342 patients between 11 March and 15 May 2020 in our centre. A chest tube was used in 13 (3.8%) of these patients. A high-efficiency particulate air filter mounted double-bottle technique was used to prevent viral transmission.

CONCLUSIONS:

In patients with COVID-19, the chest tube can be applied in cases with disease or treatment-related pleural complications. Our case series comprised a small group of patients, which is one of its limitations. Still, our main goal was to present our experience with patients with pleural complications and describe a new drainage technique to prevent viral transmission during chest tube application and follow-up.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pleural Diseases / Chest Tubes / Drainage / Infection Control / Infectious Disease Transmission, Patient-to-Professional / COVID-19 Type of study: Cohort study / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: Eur J Cardiothorac Surg Journal subject: Cardiology Year: 2020 Document Type: Article Affiliation country: Ejcts

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pleural Diseases / Chest Tubes / Drainage / Infection Control / Infectious Disease Transmission, Patient-to-Professional / COVID-19 Type of study: Cohort study / Observational study / Prognostic study / Randomized controlled trials Topics: Long Covid Limits: Aged / Female / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: Eur J Cardiothorac Surg Journal subject: Cardiology Year: 2020 Document Type: Article Affiliation country: Ejcts