Abstract
Recent studies have shown that a single chest tube after pulmonary lobectomy is at least as effective as 2 chest tubes in evacuating air and fluid from the pleural space.1-3 In addition, a single tube may produce less pain and may be a more suitable option for patients being treated with fast-tracking approaches. Most surgeons still favor the use of −20 cm H2O suction in the first postoperative hours, with the theoretic aim of promoting lung expansion. This level of suction has persisted in most practices since being adapted from early thoracic drainage devices designed by Emerson in the 1940s.
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