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Drainage Amount for Removal of Thoracostomy Tube — DARTT  

Pleural Effusion Clinical Trial

Official title:
Non-inferiority Randomized Trial Evaluating Removal of Thoracostomy Tubes Independent of the Drainage Amount Versus Removal When the Drainage Amount Is Low

Clinical Trial Summary

The purpose of this study is to determine whether chest tubes can be safely removed without considering how much fluid is draining through the tube.

Clinical Trial Description

Thoracostomy tubes are routinely used to drain the pleural space of fluid and gas to optimize pulmonary mechanics. Clinicians frequently postpone removal of thoracostomy tubes if the drainage from the tube exceeds a specific volume threshold for the prior 24 hours. However, there is substantial variability in the drainage volume threshold that different clinicians use, and no threshold has been established as clearly superior to any other. Removing tubes independently of the drainage volume may result in a greater risk of pleural effusion or pneumothorax requiring an invasive drainage procedure. However, removing tubes independently of the drainage volume might also expedite recovery by allowing earlier removal of the tube, thus diminishing pain and increasing patient mobility.

Thoracostomy tube management practices, including the drainage volume threshold used, may be dissimilar for different types of disease processes, so this study will be restricted to patients who required a thoracostomy tube for treatment of traumatic injury. ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT00575198
Study type Interventional
Source University of California, Davis
Contact
Status Completed
Phase N/A
Start date December 2007
Completion date December 2012
View Details
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