ReviewTuberculosis and respiratory diseases2018
Chest Tube Drainage of the Pleural Space: A Concise Review for Pulmonologists.
Review in Tuberculosis and respiratory diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
42 citing papers in PubMed, 1 synthesis or guideline pooled it, 116 citations in OpenAlex.
- Thoracostomy tube withdrawal during latter phases of expiration or inspiration: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Pooled it
- Pretreatment with Pectoral Nerve Block II Is Effective for Reducing Pain in Patients Undergoing Thoracoscopic Lobectomy: A Randomized, Double-Blind, Placebo-Controlled Trial.BioMed research international · 2021Trial
- Contemporary Pleural Drainage in Adult Practice: Image-Guided Techniques, Procedural Safety, Training Standards, and Malignant Pleural Effusion Management.Journal of clinical medicine · 2026Review
- Safety and efficacy of chest tube clamping versus non-clamping prior to removal: a systematic review and meta-analysis.International journal of emergency medicine · 2026Review
- Suction Impact on Chest Drain Duration After Lung Resection: A Study Using Digital Drainage Systems.Journal of clinical medicine · 2026Article
- Development and Evaluation of a Low-Cost Phantom Model for Ultrasound-Guided Intercostal Chest Drain Insertion.Cureus · 2026Article
- Ultrasound-Guided Small-Caliber Catheter Drainage for Complex Septated Pleural Effusions: Discrimination of Septal Characteristics for Outcomes.International journal of general medicine · 2026Article
- Two Lungs, One Pleural Space, Managing Buffalo Chest Syndrome with Bilateral Drainage Following Computed Tomography-guided Lung Biopsy, A Case Report.Interventional radiology (Higashimatsuyama-shi (Japan) · 2026Article
- Impact of Hydrogel-Coated Chest Drains on Outcomes in Thoracic Surgery.Interdisciplinary cardiovascular and thoracic surgery · 2025Article
- Intercostal Artery Screening with Color Doppler Thoracic Ultrasound in Pleural Procedures: A Potential Yet Underexplored Imaging Modality for Minimizing Iatrogenic Bleeding Risk in Interventional Pulmonology.Journal of clinical medicine · 2025Review
- The role of clamping before removal of a chest tube in post-surgical and pneumothorax patients using digital drainage systems: a noninferiority randomised trial.ERJ open research · 2025Article
- Chest drain through utility vs separate incision in single-port video-assisted thoracoscopic lobectomy: a randomized controlled trial.Annals of medicine and surgery (2012) · 2025Article
- A Practical Approach to Pneumothorax Management.Pulmonary therapy · 2025Article
- Recurrent Pneumothorax: A Chest Tube Complication.Cureus · 2025Article
- Massive Hemothorax due to a Rare Entity: Dilemma of ICD Insertion!! A Case Report.Annals of cardiac anaesthesia · 2025Article
- Failure rate and complications of small-bore, wire-guided chest drains in adult patients presenting with traumatic and nontraumatic pleural diseases: A systematic review.Qatar medical journal · 2025Review
- Knowledge and Competency of Chest Tube Insertion Among Medical Students and Interns in Saudi Arabia.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2025Article
- Chest Tubes and Pleural Drainage: History and Current Status in Pleural Disease Management.Journal of clinical medicine · 2024Review
- Comparison of the effect of chest tube diameter on drainage rate and tube performance in patients with pleural effusion. A cross-sectional study.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2024Article
- Bronchoscopic management in persistent air leak: a narrative review.Journal of thoracic disease · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Chest tube insertion is a common procedure usually done for the purpose of draining accumulated air or fluid in the pleural cavity. Small-bore chest tubes (≤14F) are generally recommended as the first-line therapy for spontaneous pneumothorax in non-ventilated patients and pleural effusions in general, with the possible exception of hemothoraces and malignant effusions (for which an immediate pleurodesis is planned). Large-bore chest drains may be useful for very large air leaks, as well as post-ineffective trial with small-bore drains. Chest tube insertion should be guided by imaging, either bedside ultrasonography or, less commonly, computed tomography. The so-called trocar technique must be avoided. Instead, blunt dissection (for tubes >24F) or the Seldinger technique should be used. All chest tubes are connected to a drainage system device: flutter valve, underwater seal, electronic systems or, for indwelling pleural catheters (IPC), vacuum bottles. The classic, three-bottle drainage system requires either (external) wall suction or gravity ("water seal") drainage (the former not being routinely recommended unless the latter is not effective). The optimal timing for tube removal is still a matter of controversy; however, the use of digital drainage systems facilitates informed and prudent decision-making in that area. A drain-clamping test before tube withdrawal is generally not advocated. Pain, drain blockage and accidental dislodgment are common complications of small-bore drains; the most dreaded complications include organ injury, hemothorax, infections, and re-expansion pulmonary edema. IPC represent a first-line palliative therapy of malignant pleural effusions in many centers. The optimal frequency of drainage, for IPC, has not been formally agreed upon or otherwise officially established.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.