Thoracentesis Quality Improvement (QI) Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 102
- 试验地点
- 2
- 主要终点
- Pain and dyspnea scores- Post-fluid
研究概览
简要总结
Researchers will compare 3 standard of care methods of pleural fluid drainage during therapeutic thoracentesis. Patients are randomized to manual aspiration, vacuum bottle drainage or wall suction methods. Primary outcome is procedural time with secondary outcomes of pain and dyspnea scores.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 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
- 否
入选标准
- •Evidence of pleural effusion on imaging
- •Clinical indication for thoracentesis
排除标准
- •Standard contraindication for thoracentesis procedure
- •Patients on positive pressure ventilation
- •Patients who have opted out of research in EPIC
结局指标
主要结局
Pain and dyspnea scores- Post-fluid
时间窗: Through study completion, an average of 24 hours
Patients will be asked to indicate their pain and dyspnea level verbally using the Modified Borg Scale for Dyspnea and Numerical Ratings Scale (0-10, with 10 being highest level of pain)
Pain and dyspnea scores- 5m post
时间窗: 5 minutes post-procedure
Patients will be asked to indicate their pain and dyspnea level verbally using the Modified Borg Scale for Dyspnea and Numerical Ratings Scale (0-10, with 10 being highest level of pain)
Pain and dyspnea scores- 24h post
时间窗: 24 hours post-procedure
Patients will be asked to indicate their pain and dyspnea level verbally using the Modified Borg Scale for Dyspnea and Numerical Ratings Scale (0-10, with 10 being highest level of pain)
Procedural time to 500mL
时间窗: Through study completion, an average of 24 hours
Time to pleural fluid drainage from initiation of therapeutic drainage to 500mL
Pain and dyspnea scores- Baseline
时间窗: Immediately prior to starting the thoracentesis
Patients will be asked to indicate their pain and dyspnea level verbally using the Modified Borg Scale for Dyspnea and Numerical Ratings Scale (0-10, with 10 being highest level of pain)
Pain and dyspnea scores- Cath
时间窗: Through study completion, an average of 24 hours
Patients will be asked to indicate their pain and dyspnea level verbally using the Modified Borg Scale for Dyspnea and Numerical Ratings Scale (0-10, with 10 being highest level of pain)
Pain and dyspnea scores- Post-cath
时间窗: Immediately after removing the thoracentesis catheter
Patients will be asked to indicate their pain and dyspnea level verbally using the Modified Borg Scale for Dyspnea and Numerical Ratings Scale (0-10, with 10 being highest level of pain)
Procedural time to 750mL
时间窗: Through study completion, an average of 24 hours
Time to pleural fluid drainage from initiation of therapeutic drainage to 750mL
Procedural time to 1L
时间窗: Through study completion, an average of 24 hours
Time to pleural fluid drainage from initiation of therapeutic drainage to 1L
次要结局
未报告次要终点