16F vs 24F Chest Drain After Minimally Invasive Lobectomy and/or Segmentectomy (NCT06958848) | Clinical Trial Compass
RecruitingNot Applicable
16F vs 24F Chest Drain After Minimally Invasive Lobectomy and/or Segmentectomy
Switzerland124 participantsStarted 2025-05-01
Plain-language summary
The aim of the study is to evaluate postoperative pain in patients receiving a small-bore (16F) chest drain compared to those receiving the standard large-bore (24F) chest drain after minimally invasive pulmonary lobectomy and/or segmentectomy.
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:
* Informed Consent signed by the patient (all sex and gender)
* Patients' age from ≥ 18 to no age limit at time of study inclusion
* American Society of Anaesthesiologists (ASA) physical status classification I to IV
* Patients with resectable non-small cell lung cancer (NSCLC) deemed operable by minimally invasive surgical technique.
* Minimally invasive anatomical lung resections under general anaesthesia: lobectomy, lobectomy with wedge resection, lobectomy combined with segmentectomy, segmentectomy with wedge resection, bilobectomy
Exclusion Criteria:
* Previous thoracic surgery on the same side within 3 months
* Lung cancer complicated with pleural empyema
* Patients with chronic pain who receive opioids/gabapentin/pregabalin
* Patients who consume opiates/benzodiazepines
* Congestive heart failure NYHA Class III or IV
* Liver cirrhosis Child-Pugh Class B and C
* Renal insufficiency requiring dialysis and/or estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73 m2
* Patients with coagulopathy or bleeding disorders: von Willebrand disease, Hemophilia; Thrombocytopenia (\<50 G/l), requiring platelet transfusion
* Patients with neuralgia
* Chest pain (site of surgery) without taking painkillers, measured by VAS while coughing \> 10 mm
* Not consolidated rib fractures (in the last 3 months) on the side of surgical procedure
* Open anatomical lung resection, including pneumonectomy
* Insertion of 2 or more chest tubes
* Need for patient controlle…
What they're measuring
1
Postoperative chest pain
Timeframe: 4 and 6 hours after last suture; twice daily from day 1 to day 3 postoperative or until tube removal; on discharge home; on follow up day 30 and 180.
2
Postoperative acute pain relief while coughing
Timeframe: 4 and 6 hours after last suture; twice daily from day 1 to day 3 postoperative or until tube removal; on discharge home; on follow up day 30 and 180.