A Study to Evaluate Routine Chest Tube Management After Minimally Invasive Lung Surgery (NCT04913415) | Clinical Trial Compass
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A Study to Evaluate Routine Chest Tube Management After Minimally Invasive Lung Surgery
United States160 participantsStarted 2021-02-23
Plain-language summary
Chest tubes are routinely required after surgical procedures for lung cancer. This device is a flexible plastic tube that is inserted through the chest wall to remove air or fluid from around your lungs after surgery for lung cancer. There are two general strategies associated with the clinical management of chest tubes, active and passive suction. If suction is compared to driving a car, active suction is similar to pressing the gas pedal while passive suction is like letting your car move on its own. The suction approach taken by surgeons largely depends on how they were trained and some personal biases and beliefs. However there is no general consensus about which chest tube management strategy is best.
This research aims to compare two settings on a digital drainage system, a low suction (LS) mode - passive suction - and standard suction (ss) mode - active suction. From the data collected, the researchers will analyze whether LS or SS will lead to a better recovery after surgery.
Who can participate
Age range18 Years
SexALL
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AI-rewrites the medical criteria so a patient or caregiver can understand them. Always confirm with the trial site.
Inclusion criteria
✓. Patients who are undergoing lobectomy or segmentectomy
✓. Patients undergoing wedge resection to diagnose, or as definitive therapy for a lung nodule/cancer.
✓. Able to understand and sign consent
Exclusion criteria
✕. Patients undergoing pneumonectomy or bilobectomy
✕. Patients undergoing resection for inflammatory conditions such as aspergillosis
✕. Patients undergoing diagnostic wedge resection for interstitial lung disease
✕. Patients undergoing redo-VATS or thoracotomy on the same side as current planned resection
✕. Patients found to have a "frozen chest" at the time of surgery, requiring extensive adhesiolysis,
✕. Patients who are discovered to have metastatic disease during the operation, so that resection is no longer indicated.
✕
What they're measuring
1
Duration of air-leak
Timeframe: When the subject arrives to the recovery room directly after surgery, then every 24 hours while admitted to the hospital until air leak resolves (on average, up to 4 days)
Trial details
NCT IDNCT04913415
SponsorAllegheny Singer Research Institute (also known as Allegheny Health Network Research Institute)