The utility of intrapleural instillation of autologous blood for prolonged air leak after lobectomy.

Abstract:

PURPOSE OF REVIEW:Air leak after pulmonary lobectomy is a relatively common problem, which when persistent can be a cause of other postoperative morbidity as well as contributing to extended hospitalization. A number of methods have been proposed to prevent and treat air leakage, but none have proved incontrovertibly effective. This article reviews the practice of using autologous blood as an effective technique to treat postoperative air leaks after lobectomy. RECENT FINDINGS:Five reports have looked specifically at the technique. In all cases, the procedure was safe and efficacious, with proven advantages over other methods of managing persistent air leaks. It allows earlier removal of chest drains and shortens hospitalization times. SUMMARY:Instillation of autologous blood into the pleural drain in the early postoperative period can lead to immediate sealing of the air leak and allow for earlier drain removal and timely patient discharge. It is a safe bed-side procedure and can be done with relative ease and at minimal cost.

journal_name

Curr Opin Pulm Med

authors

Ahmed A,Page RD

doi

10.1097/MCP.0b013e3282fcea76

subject

Has Abstract

pub_date

2008-07-01 00:00:00

pages

343-7

issue

4

eissn

1070-5287

issn

1531-6971

pii

00063198-200807000-00014

journal_volume

14

pub_type

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