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J Thorac Cardiovasc Surg 2008;136:536-537
© 2008 The American Association for Thoracic Surgery

Letter to the Editor

Reply to the Editor:

Robert J. Cerfolio, MD

General Thoracic Surgery, University of Alabama at Birmingham, Birmingham, AL, US

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

We appreciate Dr Grodzki's interest in our article.1Go We are honored that he has applied some of the concepts we presented toward his practice. He has used, as per our recommendation, the removal of chest tubes when the output is 450 mL/d or less, assuming it is not blood or chyle. However, it is unfortunate that he has not shared our favorable experience. He attributes this failure to "different environmental factors" between Birmingham, Alabama, and Szczecin, Poland. Although the author may be correct and there indeed may be environmental factors at play, I wonder if other reasons may explain his . . . [Full Text of this Article]






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