Interprofessional Approach to Ultrasound Diagnosis and Intervention in Critical Care Patients With Pneumothorax and/or Hemothorax

Not Applicable

Completed

• Conditions: Interprofessional Approach; Ultrasound; Intervention; Critical Care; Pneumothorax; Hemothorax

• Registration Number: NCT06825299
• Lead Sponsor: Tanta University

Brief Summary

Investigate the efficacy of interprofessional team approach to ultrasound guided diagnosis and intervention (pigtail or chest tube insertion) in critical care patients with Pneumothorax and/or hemothorax.

Evaluate the safety of the procedure {Insertion- related complications. Assess the Duration of chest tube insertion

Detailed Description

Pneumothorax is defined as the presence of air in the pleural cavity; it can be secondary to underlying pulmonary pathology or trauma. In trauma, about 40-50% of thoracic injuries develop pneumothorax. Traditionally, following the suggestion of the American College of Chest Physicians and the Advanced Trauma Life Support (ATLS), all traumatic pneumothoraxes must be treated with a pleural drainage that could be chest tube (CT) or pigtail catheter (PC).

Insertion of pleural drains is a common surgical procedure. Percutaneous pleural drainage is the third most performed procedure in the intensive care unit (ICU) after vascular catheterization and tracheal intubation.

Bedside-ultrasound is introducing the advantage of at-time diagnosis and evaluation of different parameters without the need for risky transport of critical patients outside ICU and also guiding safe and successful intervention without complications and good learning.

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Study Timeline

• Study Start: 2023-10-01
• Primary Completion: 2024-11-01
• Study Completion: 2024-11-01
• Status Verified: 2025-02
• Study First Submitted: 2025-02-08
• Study First Submitted QC: 2025-02-08
• Last Update Submitted: 2025-02-08
• Study First Posted: 2025-02-13
• Last Update Posted: 2025-02-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• Age from 21 to 65 years
• Both sexes.
• Patients with pneumothorax or hemothorax indicated for chest tube or pig tail insertion according to British Thoracic Society (BTS) June 2022 guidelines for pleural procedures.

Exclusion Criteria

• Absolute contraindication: patients in which the lung is completely adherent to the chest wall throughout the hemithorax.
• Relative contraindications: patients with risk of bleeding in patients:
• Taking anticoagulant medication.
• Patients with abnormal clotting profiles, coagulopathies, and platelet defects.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Primary Outcome Measures

Name	Time	Method
Efficacy of ultrasound diagnosis	Diagnosis 24 hours	Efficacy of ultrasound in intervention by Diagnosis of pneumothorax/hemothorax starting by physical examination followed by bed side ultrasound examination according to the international consensus conference recommendations (international evidence-based recommendations for point-of-care lung ultrasound)

Secondary Outcome Measures

Name	Time	Method
Monitoring team performance	24 hours after intervention	Monitoring team performance: team satisfaction was recorded using a 5-point Likert scale team satisfaction (1, very dissatisfied; 2, dissatisfied; 3, Okey; 4, satisfied; 5, very satisfied) in our study as an item related to team performance
Efficacy of ultrasound in intervention	10 days after intervention	Efficacy of ultrasound in intervention used (chest tube /pigtail) was recoeded.
Duration of insertion	30 minutes intervention	Duration of insertion was recorded
Incidence of complications	72 hours after intervention	Incidence of complication were recorded such as infection, bleeding, visceral injury, and visceral injury.

Trial Locations

Locations (1)

Tanta University; 🇪🇬 Tanta, ElGharbia, Egypt