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临床试验/NCT05545566
NCT05545566已完成不适用

Evaluation of Thoracic Ultrasound in Monitoring Pleural Drainage in Postoperative Thoracic Surgery

University Hospital, Limoges2 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2022年9月5日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
60
试验地点
2
主要终点
Theoretical patient discharge

研究概览

简要总结

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.

详细描述

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.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Diagnostic
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • 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.

排除标准

  • 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

结局指标

主要结局

Theoretical patient discharge

时间窗: 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.

次要结局

  • 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)

研究者

发起方
University Hospital, Limoges
申办方类型
Other
责任方
Sponsor

研究点 (2)

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