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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT06036667
Other study ID # ID 2388
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date March 5, 2019
Est. completion date December 30, 2023

Study information

Verified date February 2023
Source Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The aim of the study is to evaluate efficacy and safety of "Smart Coaxial drain" (Redax TM, Poggio Rusco, Mantova, Italia) in terms of total amount of effusion drained, incidence of residual effusion at Chest X-Ray and patient's comfort in Uniportal- and Biportal-VATS upper lobectomies. In particular, to evaluate in Uniportal-VATS upper lobectomies the efficacy and safety of smart coaxial drains compared with standard silicone chest tubes.


Description:

At the end of lung surgery, usually surgeons placed one or more chest tubes. There are several types of chest tubes and the type used by surgeons depends on centre avaiability/ local practice or surgeon choice etc...Coaxial smart drains are used in clinical practice since several years in Thoracic Surgery. In thoracoscopic (VATS) surgery usually only one chest tube is placed. In this study, we evaluate the efficacy of placement of 28Fr "coaxial smart drain" chest tube versus 28 Fr standard chest tube after Uniportal- or Biportal-VATS upper lobectomies in terms of total amount of effusion drained, incidence of residual effusion at Chest X-Ray and patient's confort.


Recruitment information / eligibility

Status Completed
Enrollment 178
Est. completion date December 30, 2023
Est. primary completion date July 30, 2023
Accepts healthy volunteers No
Gender All
Age group 18 Years to 90 Years
Eligibility Inclusion Criteria: - Patients undergone upper right or left lobectomy in Uniportal- or Biportal-VATS Exclusion Criteria: - Patients undergone open surgery - Patients undergone middle or lower lobectomies - Patients undergone chest wall/or wedge resections

Study Design


Intervention

Procedure:
28Fr "coaxial smart drain" chest tube
To evaluate the efficacy of one 28Fr chest tube ("coaxial smart drain" versus standard chest tube according to local practice, types of drainage availability in each centre, surgeon's choice etc) after Uniportal- or Biportal-VATS upper lobectomies.

Locations

Country Name City State
Italy Fondazione Policlinico Universitario Agostino Gemelli IRCCS Roma

Sponsors (1)

Lead Sponsor Collaborator
Fondazione Policlinico Universitario Agostino Gemelli IRCCS

Country where clinical trial is conducted

Italy, 

Outcome

Type Measure Description Time frame Safety issue
Primary Fluid output 1 Total fluid amount At 24 hours from surgery
Primary Fluid output 2 Total fluid amount At 48 hours from surgery
Primary Fluid output 3 Total fluid amount At 72 hours from surgery
Primary Fluid output 4 Total fluid amount At 96 hours from surgery
Primary Residual pleural effusion at chest X-Ray Residual pleural effusion at chest X-Ray before chest tube removal. The entity of pleural effusion is measured as "intercostal spaces", counted on posterior costal arches 72 hours after surgery
Primary subcutaneous emphysema 1 incidence of subcutaneous emphysema At 24 hours after surgery
Primary subcutaneous emphysema 2 incidence of subcutaneous emphysema At 48 hours after surgery
Primary subcutaneous emphysema 3 incidence of subcutaneous emphysema At 72 hours after surgery
Secondary Tube obstruction tube obstructed by blood clots during chest tube removal procedure
Secondary Pain related to chest tube 1 Pain measured in each postoperative day on VAS scale (Visual Analogue Scale, range:from 0 to 10; VAS>4 and <10 indicates moderate to severe pain) At 24 hours after surgery
Secondary Pain related to chest tube 2 Pain measured in each postoperative day on VAS scale (Visual Analogue Scale, range:from 0 to 10; VAS>4 and <10 indicates moderate to severe pain) At 48 hours after surgery
Secondary Pain related to chest tube 3 Pain measured in each postoperative day on VAS scale (Visual Analogue Scale, range:from 0 to 10; VAS>4 and <10 indicates moderate to severe pain) At 72 hours after surgery
Secondary Pain related to chest tube 4 Pain measured in each postoperative day on VAS scale (Visual Analogue Scale, range:from 0 to 10; VAS>4 and <10 indicates moderate to severe pain) At 96 hours after surgery
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