Recommendations for the standardization and management of prolonged air leaks in lung surgery

Francesco Zaraca, Marco Damiano Pipitone, Florian Augustin, Amr Abdellateef, Marcelo Jiménez, Andreas Kirschbaum, Calvin S. H. Ng, Dania Nachira, Isabelle Opitz, Clarissa Uslenghi, Marco Lucchi, Roberto Crisci, Reinhold Perkmann, Lorenzo Spaggiari & Luca Bertolaccini  |  December 6, 2025

This GRADE‑based consensus provides evidence‑informed recommendations for managing postoperative prolonged air leaks after lung surgery. Key guidance includes standardized air‑leak assessment, preference for digital drainage systems, and individualized selection between water seal and suction based on leak severity and clinical context. A stepwise framework (digital monitoring, tailored drainage strategy, and…

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Criteria to determine readiness for discharge after pulmonary surgery after pulmonary surgery

Imran Jamal Iversen, Finn Amundsen Dittberner, Anni Germann Najbjerg, Marie Øbo Larsen & Bo Laksáfoss Holbek  |  November 5, 2025

This national Delphi study established expert consensus on readiness-for-discharge criteria after pulmonary surgery in Denmark. Thoracic surgeons agreed on 23 endpoints spanning key recovery domains, including clear criteria for chest drain removal. Standardizing chest drain–related endpoints alongside respiratory function, pain control, and mobilization helps distinguish clinical readiness for discharge from…

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