Using Redax Kardia Spiral in Cardiac Surgery for Drainage and Flexibility
Dr. Hiroshi Kubota, Professor of Cardiovascular Surgery at Kyorin University Hospital in Japan provided his insights to a retrospective survey of 124 open-heart surgery cases over the course of one year in which three types of drains were compared: Kardia Spiral Drain 24Fr, Conventional 8mm flat, Silicone Conventional 24Fr. Below are some of the highlights.
The surgeon admitted his initial hesitation in using the Kardia Spiral Drain. He feared fluted type drains may not suction well under real-time conditions of profuse hemorrhage and might clog easily. “But after using them in a substantial number of different cases, it became clear to me that such concerns were unfounded,” he stated.
Over the course of the year, the surgeon used 13 sets of the silicone 24Fr drains, 52 sets of conventional flat drains and 178 sets of the Kardia Spiral Drains. He said he initially used the conventional flat drains but began using the Kardia Spiral more and more after seeing the drain’s performance. “The Spiral Drain handled anterior drainage discharges that involved hemorrhaging of 650ml daily,” he said.
Despite its slimness, he said, “the Spiral Drain was capable of keeping up and providing drainage for hemorrhages in real-time, even in cases of large hemorrhage volume.”
The surgeon explained that the most critical aspect of drainage after cardiac surgery is “without any doubt, real-time drainage of hemorrhaging.” Cardiac tamponade occurs when drainage doesn’t keep up with hemorrhaging.
“The Spiral Drain provides real-time suctioning and is capable of suctioning from the entire 30cm channel section and can drain from wherever hemorrhaging occurs, unlike the conventional drains that can only suction from the side holes.”
Dr. Kubota said, “No clogging occurred, even though blood with high hematocrit levels was suctioned.”
After viewing post-operative CT scans which showed the Kardia Spiral had less pericardial fluid than conventional drains, the surgeon was convinced that the Spiral Drains provided better drainage.
The surgeon was also pleased with the Kardia Spiral’s flexibility when positioning the drain for indwelling. Whether dealing with the pericardium or the anterior, the Kardia Spiral proved to be more convenient than a conventional flat drain. He said, “The Spiral Drain is very slim and flexible and so it is possible to deal with situations where it is difficult to position the drainage.”
Dr. Kubota said he believes the Spiral Drain is a better choice because it is slimmer, more flexible and causes less pain to the patient. “I would say this is an efficient drain that offers advantages for both the patient and the surgeon,” he said.
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