Urine Bag Usage Versus Chest Drain Clamping After Lung Resection Surgeries

Not Applicable

• Conditions: Pneumothorax and Air Leak; Pneumothorax; Pleura Injury; Pleural Effusion
• Interventions: Other: Urine bag; Other: Clamping

• Registration Number: NCT05230420
• Lead Sponsor: Al-Quds University

Brief Summary

Investigators will compare two different approaches of postoperative drainage after the standard water-seal drain has been used efficiently; one is by using urine bag and check it get blown by the leaked air, two is by using clamping of the water seal drain. Investigators will compare them depending on several factors such as; cost effectiveness, hospital stay, duration of putting the drain and more, reinsertion of the chest tube and others.

Detailed Description

Not available

Study Timeline

• Status Verified: 2021-12
• Study First Submitted: 2021-12-20
• Study Start: 2022-01-01
• Study First Submitted QC: 2022-01-27
• Last Update Submitted: 2022-01-27
• Study First Posted: 2022-02-08
• Last Update Posted: 2022-02-08
• Primary Completion: 2022-11-25
• Study Completion: 2022-12-25

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 160

Inclusion Criteria

• post lung resection patients (via Uniportal VATS only)
• Over the age of 18
• indicated chest tube

Exclusion Criteria

• Under the age of 18

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Urine bag	Urine bag	The second arm will be attached to a urine bag, and bag inflation will be measured after a certain criteria has been met. bag inflation will be assessed four hours after its attachment. Bag inflation indicates the persistence of an air leak, thus the absence of bag inflation indicates the removal of the chest drain
Clamping	Clamping	This arm will undergo chest drain clamping after a certain criteria has been met. Four hours post clamping a chest x-ray will be made, and the presence of pneumothorax will be assessed. The chest drain will be removed only in the absence of pneumothorax, if pneumothorax persists patients will stay attached to the underwater seal

Primary Outcome Measures

Name	Time	Method
Overall cost	5 to 6 days	The overall cost of the patient's hospital stay

Secondary Outcome Measures

Name	Time	Method
Number of participants with re-accumulation of air after chest tube clamping or attachment to the urine bag	up to 5 days	An important side effect to be studied
Number of participants that faced other intervention associated side effects	up to 5 days	Subcutaneous emphysema, tension pneumothorax and others
Number of chest x-rays	up to 5 days	Total number of chest x-rays
Number of participants with chest tube re-insertion	up to 5 days	An important side effect
total number of days with chest drain inserted	up to 5 days	Number of days chest drain remained inserted

Trial Locations

Locations (4)

European Institute of Oncology; 🇮🇹 Milan, Italy

Assiut University; 🇪🇬 Assiut, Egypt

Tanta University; 🇪🇬 Tanta, Egypt

Makassed Hospital; 🇵🇸 Jérusalem-Est, Palestinian Territory, occupied