DOI: 10.38053/acmj.1926179 ISSN: 2718-0115

The impact of posterior mediastinal drain placement on patient outcomes in open-heart surgery

Serdar Bedirhanoğlu, Ezhar Ersöz
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Aims: The aim was to evaluate the effects of posterior mediastinal drain (PMD) use on the early postoperative recovery process following cardiac surgery.Methods: A total 105 patients (84 CABG, 11 MVR, 10 AVR) were included. Patients were grouped by PMD presence (PMD (+), n=70; PMD (-), n=35) and drain type (no drain, silicone straight drain, PVC hemovac drain). Patients’ demographic characteristics, operative findings, and early postoperative outcomes (pericardial effusion volume, intensive care unit (ICU) stay, and hospital length of stay) were systematically recorded. Perioperative changes in hematocrit, platelet, creatinine (Cr), and BUN were analyzed.Results: A significant increase in postoperative pericardial fluid volume was observed in the group without PMD (0.88±0.30 cm vs. 0.36±0.13 cm, p

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