Optimization of Chest Tube Drainage Management

Not Applicable

Completed

• Conditions: Age >18 Years-old; Lung Diseases; Patient Who Received Thoracoscope Surgery
• Interventions: Device: Digital chest drainage system; Device: Not use Digital chest drainage system

• Registration Number: NCT03791437
• Lead Sponsor: Chang Gung Memorial Hospital

Brief Summary

Early recovery after surgery was new developing science in recent years. However , there was few reports in thoracic surgery field . Investigators try to using digital chest drainage management system into the field of postoperative care and to see whether it could help patients to recovery from surgery as soon as possible. According to investigators's clinical data collecting , investigators will establish a new postoperative care guideline for those patients who receive thoracic surgery

Detailed Description

Drainage of the space between the ribs and lungs has been practiced since the time of Hippocrates. Thus far, the function of chest tubes, specifically to drain fluid or air from the pleural space, has virtually remained unchanged for more than 3000 years. The use of chest drainage tubes after thoracic surgery is crucial to evacuate air leakage and/or pleural effusion; however, delayed tube removal may exacerbate pain, delay recovery of lung function and prolong hospitalization. Recently, Thopaz digitally monitored thoracic drainage system (Medela Healthcare, Baar, Switzerland)has been designed to provide objective measurements of air leakage and pleural pressure. With this system, air leakage and pleural pressure can be accurately measured in mL/min and mm H2O, respectively. The rate of air leakage can be seen on a display in real time. Digital surveillance for air leakage is reported to reduce interobserver disagreement in decision making in the management of patients with chest tubes, which might help caregiver a more solid evidence of strategies of postoperative chest drainage care.

Study Timeline

• Study Start: 2018-01-01
• Study First Submitted: 2018-12-13
• Study First Submitted QC: 2018-12-28
• Study First Posted: 2019-01-02
• Primary Completion: 2021-12-31
• Status Verified: 2022-03
• Study Completion: 2023-12-31
• Last Update Submitted: 2024-02-14
• Last Update Posted: 2024-02-16

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 253

Inclusion Criteria

• Volunteer to join the study after thoroughly explanations
• Patient who received thoracoscope surgery for lung lesion

Exclusion Criteria

• Not willing to join the study after thoroughly explanations
• Patients who have not received thoracoscope surgery for lung lesion

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experiment groups	Digital chest drainage system	Post chest operative use Digital chest drainage system until Patient's discharge day
Control groups	Not use Digital chest drainage system	Post chest operative use traditional drainage system until Patient's discharge day Not use Digital chest drainage system

Primary Outcome Measures

Name	Time	Method
Air leak graph of digital drainage system	Follow patient 's condition in OPD post surgery in two years	Compare Digital chest drainage system with traditional drainage system

Secondary Outcome Measures

Name	Time	Method
Days of hospital stay after surgery	Follow patient 's condition in OPD post surgery in two years	Compare Digital chest drainage system with traditional drainage system

Trial Locations

Locations (1)

Chang Gung Memorial Hospital; 🇨🇳 Taoyuan, Taiwan