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Master Thesis

Drainage en chirurgie thoracique : - Étude du rapport de l’Accréditation sur les évènements porteurs de risque déclarés - Expérience du service de chirurgie thoracique et cardiovasculaire du CHU Félix Guyon de Saint-Denis de la Réunion

Abstract : Objective: to present a review of risk-bearing events (RPEs) reported on the website of the accreditation of thoracic surgeons, during thoracic drainage ; to analyze the practice in our department, to describe an original technique of painless chest removal. Materials and methods: retrospective study of two cohorts of drained patients : one concerning 237 RPE collected between January 2009 and December 2015 ; the other of 162 patients between January 2015 and May 2018, in the department of thoracic surgery of the CHU de Saint Denis (Reunion Island). Results: 237 EPR were analyzed : a large part represented a defect of aspiration, by unintentional clamping, either voluntary for the transport of the patient (20,3 %), or unvoluntary by default of installation of the patient (11 %), or problem of suitcase (8,4 %). These EPRs were preventable in 81 % of cases. The majority of these events were not serious, but one death was recorded. The actors of clamping were the paramedical staff. The surgeon corrected the errors in 68,9 % of the cases by restoring the aspiration. At the University Hospital of Reunion, 162 patients were identified, with an average drainage duration of 4 days, median EVA at 3.3 at ablation, a complication rate of 8 %. Conclusion: the majority of EPRs result from poor suction by bent or clamped drains. They are often without consequences but with rare serious complications. These mistakes are due to lack of knowledge of the staff. Our technique of painless removal is as safe as that with cutaneous purse, with less pain for patients.
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https://dumas.ccsd.cnrs.fr/dumas-02291452
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Wednesday, September 18, 2019 - 6:22:36 PM
Last modification on : Saturday, September 21, 2019 - 1:19:54 AM
Long-term archiving on: : Sunday, February 9, 2020 - 12:13:07 AM

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  • HAL Id : dumas-02291452, version 1

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Chloé Hubert. Drainage en chirurgie thoracique : - Étude du rapport de l’Accréditation sur les évènements porteurs de risque déclarés - Expérience du service de chirurgie thoracique et cardiovasculaire du CHU Félix Guyon de Saint-Denis de la Réunion. Sciences du Vivant [q-bio]. 2018. ⟨dumas-02291452⟩

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