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J Thorac Cardiovasc Surg 2008;136:536
© 2008 The American Association for Thoracic Surgery

Letter to the Editor

Prospective algorithm to remove chest tubes after pulmonary resection with high output – is it valid everywhere?

Regional Hospital for Lung Diseases, Thoracic Surgery, Szczecin, Poland

The first 20% of the full text of this article appears below.

To the Editor:

I consider the article published by Drs Cerfolio and Bryant¹ an important contribution to the discussion regarding the amount of maximal daily pleural drainage allowed to remove a chest drain. The thoracic community widely accepts a range from 100 to 250 mL/d as a safe amount; however, this is based on personal or historical experience rather than on published data. I appreciate the majority of theses and considerations presented by the authors but particularly the discussion clearly presenting the limitations to their study.

Encouraged by the presentation of their material in June 2007, I decided to change our common protocol based on acceptance of 200 . . . [Full Text of this Article]