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Cardiothoracic Drainage

Improving outcomes and streamlining care - clinically proven

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Do we still need the bubbles for chest drain management?
Marco Scarci

Listen to Dr. Marco Scarci, Pierpaolo Busacchio and Prof. Vincent Fang, discussing the advantage of digital chest drains after cardiothoracic surgery

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Enhanced Recovery After Surgery (ERAS) in thoracic surgery
Surgeons discussing in the OR

New ERAS (Enhanced Recovery After Surgery) guidelines are here, yet the manner in which they get rolled out in your institution is far less certain.

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Advancing Patient Recovery with Digital Chest Drainage Systems
Thopaz+ Digital Chest Tube Drainage and Monitoring System

For more than 10 years now, digital chest drainage systems have been providing clear benefits and yet, the adoption by many healthcare institutions is slow.

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Medela NICE endorsement Thopaz Plus

NICE recommends Thopaz+ portable digital chest drainage device.

NICE (an executive non-departmental public body of the Department of Health in the UK) recommends Thopaz+ for managing chest drains 2.

"At a national level, adopting Thopaz+ is expected to save around £8.5 million per year in England."

  • Thopaz+ reduces chest tube duration and length of stay (in hospital).
  • Thopaz+ Improves safety for people with chest drains.
  • Thopaz+ Improves clinical decision-making through continuous objective monitoring of air leaks and fluid loss.
  • Thopaz+ Increases patient mobility.
  • Healthcare providing staff finds Thopaz+ more convenient and easier to use than conventional chest drains.
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15+ Years of Digital Drainage leadership

Vast amounts of clinical and global experience show how 10 years of digital drainage have significantly impacted the medical field:

2018

ERAS® guidelines for enhanced recovery after lung surgery with strong recommendation for digital drainage 1.

2018

NICE (an executive non-departmental public body of the Department of Health in the UK) recommends Thopaz+ for managing chest drains 2. "At a national level, adopting
Thopaz+ is expected to save around £8.5 million ($10.68 million) per year in England".

2018

New AWMF S3-Leitlinie (Association of the Scientific Medical Societies in Germany S3 Guideline) 3 recommends digital drainage for primary/secondary pneumothorax.

2016

1,000,000 patients treated with Thopaz or Thopaz+.

2015

Clinical data of 120 cardiac patients showed more efficient fluid collection due to continuous suction 4.

2014

CADTH (Canadian Agency for Drugs and Technologies in Health) appraisal for compact digital chest drainage systems 5.

2014

Data of international multicenter study shows significant reduction of chest tube duration and length of stay 6.

2011

Thopaz wins a UK Patient Safety Award 7.

2011

Publication of "Consensus definitions ESTS, AATS and STS to promote an evidence-based approach to management of the pleural space"8.

2008

Robert J. Cerfolio, thoracic surgeon and thought leader acknowledges the benefits of Thopaz after pulmonary resection.9

2007

First patient on Thopaz.

2005

Introduction of Santhora Thoracic Drainage System.

Chest Tube Drainage System

Medela Thopaz plus for cardiothoratic drainage

Thopaz+ Digital Chest Drainage and Monitoring System

Medela’s Thopaz+ takes chest drainage therapy to a new level of care. Unlike analogue systems, it reliably regulates the applied pressure at the patient’s chest and digitally (and quietly) monitors critical therapy indicators. Clinical data has demonstrated that Medela’s chest drainage therapy improves outcomes and streamlines the delivery of care.

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Research

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1- Batchelor TJP, Rasburn NJ, Abdelnour-Berchtold E, et al. Guidelines for enhanced recovery after lung surgery: recommendations of the enhanced recovery after surgery (ERAS®) society and the european society of thoracic surgeons (ESTS). Eur J Cardio-Thorac Surg. 2018. [Epub ahead of print]. doi: 10.1093/ejcts/ezy301.  https://www.ncbi.nlm.nih.gov/pubmed/30304509  2- NICE Guidance MTG37: https://www.nice.org.uk/guidance/MTG37 3- AWMF S3-Leilinie: Diagnostik und Therapie von. Spontanpneumothorax und postinterventionellem Pneumothorax http://www.awmf.org/fileadmin/user_upload/Leitlinien/010_Thoraxchirurgie/010-007ag_S3_Spontanpneumothorax-postinterventioneller-Pneumothorax-Diagnostik-Therapie_2018-03.pdf 4- Barozzi, L. et al., 2015: Do we still need wall suction for chest drainage? J Cardiovascular Surgery.2015;56(Supp.1)102. 5- Rapid Response Report: Compact Digital Thoracic Drain Systems for the Management of Thoracic Surgical Patients: A Review of the Clinical Effectiveness, Safety, and Cost-Effectiveness . https://cadth.ca/sites/default/files/pdf/htis/dec-2014/RC0590%20Compact%20Digital%20Thoracic%20Drain%20Final.pdf 6- Pompili, C. et al., 2014: Multicenter International Randomized Comparison of Objective and Subjective Outcomes Between Electronic and Traditional Chest Drainage Systems. Ann Thorac Surg. 98: 490–497. 7- Read https://www.medela.co.uk/healthcare/news-events/news/medela-wins-bbh-award 8- Brunelli, A. et al., 2011: Consensus definitions to promote an evidence-based approach to management of  the pleural space. A collaborative proposal by ESTS, AATS, STS, and GTSC.  Eur J Cardiothorac Surg.: 40(2):291-7. 9- Cerfolio, Robert J. et al., The Benefits of Continuous and Digital Air Leak Assessment After Elective Pulmonary Resection: A Prospective Study.The Annals of Thoracic Surgery , Volume 86 , Issue 2 , 396 - 401.