Evaluation of Thoracic Ultrasound in Monitoring Pleural Drainage in Postoperative Thoracic Surgery
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 60
- Locations
- 2
- Primary Endpoint
- Theoretical patient discharge
Study Overview
Brief Summary
The investigator would like to conduct a study in patients undergoing thoracic surgery to evaluate the effectiveness of thoracic ultrasound in the decision to discharge the patient after pleural drain removal.
Detailed Description
Thoracic drainage is a common and almost systematic practice after thoracic surgery requiring daily management and monitoring until and after its removal.
It allows, after opening the pleura, the evacuation of liquid and/or air retained in the pleural cavity.
The overall monitoring of the patient after thoracic surgery is based on clinical vigilance combined with thoracic imaging, in particular the chest X-ray which remains the Gold Standard (reference examination).
The removal of the drain is decided according to the quantity and appearance of the evacuated fluid, the persistence of air leaks, etc... A few hours after the removal of the drain, it is routine to perform a chest X-ray before authorizing a possible discharge from the department.
This practice does not correspond to an established scientific protocol but is systematically performed in our department before discharge.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Diagnostic
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients undergoing thoracic surgery (lung resection, pleural symphysis, biopsy or resection of a mediastinal tumor or ganglion, pleural decortication/decalcification) admitted immediately after surgery in the thoracic surgery department (standard care or continuous care) of the University Hospital of Limoges.
Exclusion Criteria
- •Admission to the intensive care unit after thoracic surgery.
- •Pneumonectomy
- •Chest wall surgery
- •Patients <18 years old
- •Not affiliated to social security
- •Under guardianship or curatorship
- •Pregnant women
- •Not knowing the French language
Outcomes
Primary Outcomes
Theoretical patient discharge
Time Frame: At the study completion, an average of 10 days
Theoretical patient discharge based on imaging data (pleural ultrasound or chest x-ray): * YES: Score ≤ 2 on each of the 4 items assessed AND total score ≤ 4. * NO: Score ≥ 3 on each of the items assessed and/or total score ≥ 5.
Secondary Outcomes
- Pain du to examination(Day 0, Day 1 and At the study completion, an average of 10 days)
- Pneumothorax(Day 0, Day 1 and At the study completion, an average of 10 days)
- Pulmonary Condensation(Day 0, Day 1 and At the study completion, an average of 10 days)
- Pleural effusion(Day 0, Day 1 and At the study completion, an average of 10 days)
- Subcutaneous emphysema(Day 0, Day 1 and At the study completion, an average of 10 days)