Post-Op Complication Clinical Trial
Official title:
Comparison of Postoperative Small-bore Pigtail or Large-bore Chest Tube Placement After Uniportal Video-assisted Thoracoscopic Surgery for Postoperative Analgesia and Enhanced Recovery: a Randomized Controlled Trial.
This study aims to figure out how small-bore pigtail catheter or large-bore chest tube for postoperative drainage impact on analgesic efficacy and actually enhance recovery postoperatively.
Status | Recruiting |
Enrollment | 40 |
Est. completion date | December 1, 2024 |
Est. primary completion date | November 1, 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 20 Years to 80 Years |
Eligibility | Inclusion Criteria: - eighty consecutive adult patients undergoing elective uniportal VATS lobectomy Exclusion Criteria: - patient refusal, body mass index > 27 kg/m2, American society of anesthesiologists (ASA) grade above 3, contraindication to nerve block, allergy to analgesic agents, regular opioid used for chronic pain prior to this time surgery, anticipating postoperative patient control analgesia (PCA) before operation, surgeon's decision for exclusion during operation, conversion to thoracotomy or multiportal VATS procedure, postoperative intubation, postoperative intensive care unit admission. |
Country | Name | City | State |
---|---|---|---|
Taiwan | Yuan's General Hospital | Kaohsiung |
Lead Sponsor | Collaborator |
---|---|
National Cheng-Kung University Hospital | Yuan's General Hospital |
Taiwan,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The VAS (Visual Analogue Scale) | resting and dynamic VAS (Visual Analogue Scale) while coughing and ambulation, the scale from "0" to "10", depending on the severity of pain. "0" means not painful, and "10" means the most pain in whole life. | after operation 0, 2, 4, 8, 24, 48 hours | |
Primary | morphine usage | cumulative intravenous morphine consumption | in the first 24 hours after operation, | |
Primary | if there is any episodes of nausea or vomiting episodes that needs mediaction | related to anesthesia or analgesia. | after operation 0, 2, 4, 8, 24, 48 hours | |
Secondary | pleural drainage from chest tube or pigtail, which was recorded by nurse. | after uniportal VATS (Video-Assisted Thoracic Surgery) | after operation 24, 48, 72, 96 hours | |
Secondary | if there is any timepoint for need of conversion to tube thoracotomy from pigtail catheter | related to post-operative complications, such as massive pleural effusion, pneumothorax, unstable vital signs or respiratory failure | after operation 24, 48, 72, 96 hours | |
Secondary | post-operative care after uniportal VATS (Video-Assisted Thoracic Surgery) | the timing of chest tube removal and length of hospital stays | after operation 24, 48, 72, 96 hours |
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