Optimization of Chest Tube Drainage Management

Lung Diseases Clinical Trial

Official title:

Optimization of Chest Tube Drainage Management to Shorten Postoperative Hospital Stay and Increase Satisfaction of Patients After Video-Assisted Thoracic Surgery

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03791437
• Other study ID #: CGMH-IRB-201701495A3
• Status: Completed
• Phase: N/A
• Start date: January 1, 2018
• Est. completion date: December 31, 2023

Study information

• Verified date: March 2022
• Source: Chang Gung Memorial Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Early recovery after surgery was new developing science in recent years. However , there was few reports in thoracic surgery field . Investigators try to using digital chest drainage management system into the field of postoperative care and to see whether it could help patients to recovery from surgery as soon as possible. According to investigators's clinical data collecting , investigators will establish a new postoperative care guideline for those patients who receive thoracic surgery

Description:

Drainage of the space between the ribs and lungs has been practiced since the time of Hippocrates. Thus far, the function of chest tubes, specifically to drain fluid or air from the pleural space, has virtually remained unchanged for more than 3000 years. The use of chest drainage tubes after thoracic surgery is crucial to evacuate air leakage and/or pleural effusion; however, delayed tube removal may exacerbate pain, delay recovery of lung function and prolong hospitalization. Recently, Thopaz digitally monitored thoracic drainage system (Medela Healthcare, Baar, Switzerland)has been designed to provide objective measurements of air leakage and pleural pressure. With this system, air leakage and pleural pressure can be accurately measured in mL/min and mm H2O, respectively. The rate of air leakage can be seen on a display in real time. Digital surveillance for air leakage is reported to reduce interobserver disagreement in decision making in the management of patients with chest tubes, which might help caregiver a more solid evidence of strategies of postoperative chest drainage care.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 253
• Est. completion date: December 31, 2023
• Est. primary completion date: December 31, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Volunteer to join the study after thoroughly explanations
• Patient who received thoracoscope surgery for lung lesion

Exclusion Criteria:

• Not willing to join the study after thoroughly explanations
• Patients who have not received thoracoscope surgery for lung lesion

Related Conditions & MeSH terms

• Age >18 Years-old
• Lung Diseases
• Patient Who Received Thoracoscope Surgery

Intervention

Device:
• Digital chest drainage system
patients who received Digital chest drainage system
• Not use Digital chest drainage system
patients who not received Digital chest drainage system( traditional drainage system)

Locations

Country	Name	City	State
Taiwan	Chang Gung Memorial Hospital	Taoyuan

Sponsors (1)

Lead Sponsor	Collaborator
Chang Gung Memorial Hospital

Country where clinical trial is conducted

Taiwan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Fluid graph of digital drainage system	Compare Digital chest drainage system with traditional drainage system	Follow patient 's condition in OPD post surgery in two years
Other	Patient Daily Activity	Using Wearable Device for monitor patient's sleep quality and activity	Until patient discharge from our hospital
Primary	Air leak graph of digital drainage system	Compare Digital chest drainage system with traditional drainage system	Follow patient 's condition in OPD post surgery in two years
Secondary	Days of hospital stay after surgery	Compare Digital chest drainage system with traditional drainage system	Follow patient 's condition in OPD post surgery in two years