Suction Versus Water Seal for Initial Treatment of Traumatic Pneumothorax Trial
- Conditions
- PneumothoraxTrauma
- Registration Number
- NCT06688734
- Lead Sponsor
- Vanderbilt University Medical Center
- Brief Summary
The goal of this clinical trial is to compare the effect of placing chest tubes to water seal versus suction initially, in patients with traumatic pneumothoraces, on overall chest tube duration.
The main question it aims to answer is:
* Does placing chest tubes to water seal initially results in a shorter chest tube duration, without an increase in complications?
Alternating each month, patients' chest tubes will either be placed to water seal or to suction initially. All other management decisions related to the chest tube will be left to the providers.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 150
- admitted to the trauma surgery service
- pneumothorax requiring a chest tube
- less than 18 years olf
- pregnant
- prisoner
- greater than 300cc of hemothorax on CT
- chest tube placed prior to CT scan
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Chest tube duration Through study completion, an average of 1 year Duration of the initial chest tube, measured in hours
- Secondary Outcome Measures
Name Time Method Change from water seal to suction Through study completion, an average of 1 year Yes/No
Additional chest tube placement on affected side Through study completion, an average of 1 year Yes/no
Pneumothorax reaccumulation with chest tube to water seal Through study completion, an average of 1 year Yes/no Yes if growth of pneumothorax on chest x-ray with tube to water seal
Replacement of chest tube Through study completion, an average of 1 year Yes/no Yes if chest tube removed and then a new one is place on the same side at a later time
Pneumothorax reaccumulation after chest tube removal Through study completion, an average of 1 year Yes/no Yes if pneumothorax grows on chest x-ray after chest tube removal
Hypoxic events Through study completion, an average of 1 year Yes/no Yes if \<90% O2 saturation is recorded in chart
Empyema Through study completion, an average of 1 year Yes/no Yes if clinically diagnosed by provider based off of imaging, operative findings, clinical picture, culture results, or operative findings
Pneumonia Through study completion, an average of 1 year Yes/no Yes if clinically diagnosed and treated for pneumonia
Retained hemothorax Through study completion, an average of 1 year Yes/no Yes if \>300cc hemothorax seen on CT scan after chest tube placement
TPA administration Through study completion, an average of 1 year Yes/no Yes if any TPA administered to the affected side of the chest
Chest tube site, skin and soft tissue infection Through study completion, an average of 1 year Yes/no Yes if skin and soft tissue infection treated with incision and drainage, or antibiotics
Video-assisted thoracoscopic surgery Through study completion, an average of 1 year Yes/no Yes if receives video-assisted thoracoscopic surgery on the affected side during initial admission
Acute respiratory failure requiring intubation Through study completion, an average of 1 year Yes/no Yes if intubated for hypoxia or hypercapnea during hospital stay
Unplanned ICU admission Through study completion, an average of 1 year Yes/no Yes if admitted to ICU unexpectedly, for clinical deterioration
30-day mortality Through study completion, an average of 1 year Yes/no Yes if died within 30 days of initial presentation
Length of hospital stay Through study completion, an average of 1 year Integer, measured in days, length of initial hospital stay
30-day readmission Through study completion, an average of 1 year Yes/no Yes if readmitted within 30 days of discharge
Thoracic intervention during readmission Through study completion, an average of 1 year Yes/no Yes if readmitted and receives chest tube, video-assisted thoracoscopic surgery, or thoracotomy on the affected side
Trial Locations
- Locations (1)
Vanderbilt University Medical Center
🇺🇸Nashville, Tennessee, United States