The Beat With Joel Dunning Ep. 117: Chest Tube Management

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Mara Antonoff, Associate Professor of Thoracic and Cardiovascular Surgery and Program Director for Education at the University of Texas MD Anderson Cancer Center, and President of Women in Thoracic Surgery, about chest tubes.

Chapters

00:00 Intro

02:21 JANS 1, Ross Long-Term Outcomes

04:12 JANS 2, Valve Replacement Pregnancy

07:09 JANS 3, Bronchopleural Fistula

09:36 JANS 4, AUTHEARTVISIT Study

11:51 Career Center

13:56 Video 1, Bicuspid AVR & AAR

16:15 Video 2, Cold Head-Warm Body Perfusion

19:00 Video 3, Dr. Kappetein Podcast

20:23 Dr. Antonoff Interview, Chest Tube Management

38:45 Closing

They discuss single chest tube vs double chest tube, the benefits of single chest tubes, and various chest tube sizes. They also explore reducing chest drain pain, stitching the chest tube, and chest tube output thresholds for removal. Additionally, they cover drain removal, air leaks, and clamping.

Joel also highlights recent JANS articles on whether the Ross procedure in young adults delivers favorable long-term clinical and QOL outcomes, a literature review including new data from the registry of pregnancy and cardiac disease III regarding valve replacement during pregnancy, a multi-institutional analysis of the treatment outcomes and prognostic factors in the ESSG-01 study, and the choice of surgical aortic valve replacement type and midterm outcomes in 50 to 65-year-olds.

In addition, Joel explores bicuspid aortic valve repair and ascending aorta replacement, a guide to isolated cerebral perfusion using two bypass circuits, and an episode of The Atrium podcast featuring host Dr. Alice Copperwheat speaking with Professor Pieter Kappetein about the future of revascularization. Before closing, Joel highlights upcoming events in CT surgery.

JANS Items Mentioned 

1.) Ross Procedure in Young Adults Delivers Favorable Long-Term Clinical and QOL Outcomes 

2.) Valve Replacement During Pregnancy: Literature Review Including New Data From the Registry of Pregnancy and Cardiac Disease III 

3.) Bronchopleural Fistula: A Multi-Institutional Analysis of the Treatment Outcomes and Prognostic Factors in the ESSG-01 Study

4.) The Choice of Surgical Aortic Valve Replacement Type and Mid-Term Outcomes in 50 to 65-Year-Olds: Results of the AUTHEARTVISIT Study

CTSNET Content Mentioned 

1.) Bicuspid Aortic Valve Repair and Ascending Aorta Replacement

2.) Cold Head-Warm Body Perfusion: A Guide to Isolated Cerebral Perfusion Using Two Bypass Circuits 

3.) The Atrium: The Future of Revascularization

Other Items Mentioned 

1.) Guest Editor Series: Insights Into Pediatric Mechanical Circulatory Support 

2.) Cardiac Surgical Arrest—An International Conversation Series

3.) Career