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. 2017 Sep;9(9):3215-3221.
doi: 10.21037/jtd.2017.08.110.

The Redax® Coaxial Drain in pulmonary lobectomy: a study of efficacy

Ottavio Rena  1 , Sara Parini  1 , Esther Papalia  1 , Fabio Massera  1 , Davide Turello  1 , Guido Baietto  1 , Caterina Casadio  1
Affiliations

The Redax® Coaxial Drain in pulmonary lobectomy: a study of efficacy

Ottavio Rena et al. J Thorac Dis. 2017 Sep.

Abstract

Background: Pleural drainage is required after pulmonary lobectomy to evacuate air-leak and fluid. We compared the performance of the new Redax® Coaxial Drain (CD) (Redax, Mirandola, Italy) with a standard chest tube (CT) in terms of fluid and air-leak evacuation.

Methods: Fifty-two patients receiving a 24-F CD under water-seal after pulmonary lobectomy through open surgery or video-assisted thoracic surgery (VATS) were matched according to demographic, clinical and pathological variables with 104 patients receiving a 24-F CT. Fluid evacuation and post-operative day 0 (POD0) fluid evacuation rate, air-leak rate, tension pneumothorax or increasing subcutaneous emphysema, tube occlusion at removal, visual analog scale (VAS) score at rest and during cough, chest drain duration, pleural fluid accumulation or residual pleural cavity after tube removal, post-operative morbidity and mortality rate were recorded and compared between the two groups.

Results: No differences were recorded in post-operative morbidity and mortality rates. Fluid drainage rates on POD0 were significantly higher in CD group (73% vs. 48%; P=0.004); air-leak occurrence was similar in both groups and no differences were recorded in terms of tension pneumothorax or increasing subcutaneous emphysema rates; VAS score was lower for CD when compared with CT and it reached significant difference in the subgroups of patients operated on by VATS; no cases of occlusion at removal were recorded in CD patient.

Conclusions: Redax® CD is safe and efficient in air-leak and fluid evacuation; due to its design and constituting material it is superior to standard CTs in terms of fluid evacuation rate and patient post-operative comfort.

Keywords: Thoracic surgery; air-leak; chest drain; pleural effusion; pulmonary lobectomy.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Features of the 24-F Redax® Coaxial Drain. Note the fluted surface, the coaxial channel with multiple holes and tip section profile.
See this image and copyright information in PMC

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