Pectus Excavatum Clinical Trial
Official title:
Is Lung Ultrasound the Technique of Choice for the Diagnosis of Pneumothorax Following the Nuss Procedure for Pectus Excavatum?
This study will be conducted to determine the advantages and limitations of sonography compared with chest radiography, in the detection of post procedure iatrogenic pneumothorax in patients underwent to Pectus Excavatum (PE) with Nuss repair.
The Nuss procedure is a minimally invasive technique for the repair of Pectus Excavatum
(MIRPE).
Residual pneumothorax (PNX) is reported in more than 50% after Nuss procedure. It is a
consequence of the introduction of the scope and bar in the pleural space and is considered a
minor complication due to the minimal clinical consequences. It is routine practice to
confirm the diagnosis of PNX with a conventional chest X-Ray either in the operating room at
the end of thoracic surgery or in the recovery room unit immediately after surgery.However,
anterior pneumothorax can occur and chest-X ray could not be able to detected the PNX.
Nowadays lung ultrasound (LUS) allows a bedside non-invasive evaluation of the patient(with a
sensitivity and specificity of 92 and 99% respectively) without exposure to ionized
radiation, can be performed more quickly than chest radiography and therefore can be repeated
several times without additional risks. The use of LUS in pediatric age groups is more
recent, but is becoming widely utilized both in neonatal and pediatric respiratory diseases.
Bedside sonography for diagnosis of PNX has been well described in emergency and trauma
medicine literature and it is resulted to be more sensitive and specific than portable
anteroposterior chest radiography. Although there are few studies describing the use of
ultrasound for the detection of surgical pneumothorax, none of them studied its use after
Nuss Procedure.
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT05034601 -
ESPB vs TPVB for Postoperative Analgesia After the Nuss Procedure
|
N/A | |
| Completed |
NCT02552186 -
Non-invasive Clinical Pectus Index as a Measurement of Severity in Pectus
|
N/A | |
| Recruiting |
NCT04167865 -
Effects of Exercise Therapy on Pectus Excavatum
|
N/A | |
| Completed |
NCT05443113 -
Young Pectus Excavatum Patients and Genetic Defects
|
||
| Completed |
NCT04362878 -
Psychological Assessment of Patients With Chest Wall Deformities
|
||
| Recruiting |
NCT06110689 -
Capturing Physiologic Autonomic Data From Clinically Indicated Magnetic Resonance Imaging Scans in Children
|
||
| Completed |
NCT02009267 -
Nuss Procedure: Clinical Options in Pediatric Pain Management?
|
N/A | |
| Recruiting |
NCT01486953 -
Pulmonary Mechanics During Minimally Invasive Repair of Pectus Excavatum
|
Phase 4 | |
| Completed |
NCT02169297 -
Sub-Paraspinal Block in Nuss Patients. A Pilot Project
|
Phase 4 | |
| Completed |
NCT02174796 -
Hemodynamic Repercussions of the Correction (Surgical and Non Surgical) of Pectus Excavatum-type Thoracic Deformities
|
N/A | |
| Recruiting |
NCT04211935 -
Identification of Best Postoperative Analgesia Method Following a Minimally Invasive Repair of Pectus Excavatum
|
N/A | |
| Completed |
NCT02721017 -
Cryoanalgesia vs. Epidural in the Nuss Procedure
|
Phase 4 | |
| Completed |
NCT02337621 -
Pain, Exercise and Psychological Well-being in Pectus Excavatum
|
||
| Terminated |
NCT01863498 -
Prospective Trial: Pain Management After Pectus Excavatum Repair, Epidural Versus PCA
|
N/A | |
| Recruiting |
NCT04418583 -
Quantifying the Effect of the Crane Technique Through Three-dimensional Imaging
|
N/A | |
| Active, not recruiting |
NCT05063695 -
Pectus ESC Outcomes and Comparative Effectiveness Study
|
||
| Completed |
NCT01816373 -
Non-invasive Negative Pressure Treatment for Pectus Excavatum
|
N/A | |
| Withdrawn |
NCT02376634 -
Hypnotherapy in Major Surgical Procedures
|
N/A | |
| Completed |
NCT02163265 -
Impact of Surgical Treatments of Thoracic Deformation on Cardiopulmonary Functions
|
N/A | |
| Completed |
NCT02958683 -
Chest Wall Motion Analysis in Disease
|