COMPARISON OF THE OUTCOME OF FLUTTER VALVE DRAINAGE SYSTEM AND UNDERWATER SEAL DEVICE FOR MANAGEMENT OF PNEUMOTHORAX donusonoh@yahoo.com

 

COMPARISON OF THE OUTCOME OF FLUTTER VALVE DRAINAGE SYSTEM AND UNDERWATER SEAL DEVICE FOR MANAGEMENT OF PNEUMOTHORAX

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Nigeria

Poster with Discussion

Pneumothorax is a common phenomenon in cardiothoracic practice. Most present as emergency. Common treatment is chest tube insertion connected to underwater seal. Most clinicians in Enugu Nigeria do not know about flutter valve. This study compares the two devices

This was a hospital based prospective, randomized comparative study. Fifty patients who fulfilled the inclusion criteria and signed the consent form were randomized into two equal groups: group A was patients managed with flutter valve and group B with underwater seal. Important clinical and radiological findings were recorded before thoracostomy and patients were reviewed on the 4th; 7th and 30th day post thoracostomy and clinical and radiological finding and action taken were recorded on the proforma. The data obtained were analyzed using SPSS version 26 statistical software for Windows

Seventy eight percent of the participant were male and more than half in age range of 21 - 50 years. seventy four percent of the pneumotharaces were traumatic. There was no satistical difference the outcome of usage of both devices

There is no statistical difference in time taken for full lung re-expansion, need for low pressure suction, need for operative intervention, recurrence within 30 days and complication rate for the use of flutter valve drainage system and underwater seal device for the management of pneumothorax. However best outcome with the use of both devices was seen in traumatic pneumotharaces; poor outcome in SSP and PSP. Younger age groups and small pneumotharaces did better with flutter valve