Objective and Subjective Outcomes of an Electronic Chest Drainage System
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Purpose
This study is designed to compare the Thopaz chest tube drainage system to the traditional collection chamber system. The Thopaz system is already in clinical use in the United States and throughout the world. As such, this study is not evaluating safety or efficacy of this system both of which have already been demonstrated. This study's primary aim is to determine whether the use of a digital chest drainage system compared with a traditional system affects duration of chest drainage and length of hospital stay.
Furthermore, we aim to determine whether the use of a digital chest drainage system compared with a traditional system increases the total distance of ambulation in the first 48 hours after thoracic surgery and affects overall patient satisfaction in the peri-operative period.
Finally, we want to determine whether the aforementioned outcomes relative to the chest tube drainage systems differ in different parts of the world.
| Condition | Intervention |
|---|---|
|
Lung Cancer |
Device: electronic chest drainage system |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Supportive Care |
| Official Title: | Objective and Subjective Outcomes of an Electronic Chest Drainage System Versus Traditional Devices: a Randomized Comparison |
- Duration of chest tubes [ Time Frame: date of chest tube removal ] [ Designated as safety issue: No ]
- total distance of ambulation in the first 48 postoperative hours [ Time Frame: 48 hours after surgery ] [ Designated as safety issue: No ]
- overall patient satisfaction with chest drainage system. [ Time Frame: 48 hours after surgery ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 400 |
| Study Start Date: | January 2013 |
| Estimated Study Completion Date: | May 2013 |
| Estimated Primary Completion Date: | May 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Electronic system
patients managed with an electronic chest drainage system
|
Device: electronic chest drainage system
Patients in the intervention arm are connected to Thopaz, electronic drainage system immediately after closure of the chest, patients in the control group are connected to a traditional system. Chest tubes in both groups are then connected to suction of -20 cmH2O and maintained at that level until post-operative day #1. On the morning of post-operative day #1, presence of air leak will be recorded on suction. Then, suction will be decreased to -8 cmH2O (so-called water seal). At that time, management of chest tube drainage and decision for chest tube removal will be dictated by clinical signs, symptoms, and surgeon preference following the standard clinical algorithm for post-operative care of general thoracic patients |
|
No Intervention: traditional system
patients managed with a traditional analogue chest drainage system
|
Eligibility| Ages Eligible for Study: | 18 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Able and willing to read, understand, and provide written Informed Consent
- Age range of 18-90 years
- Patients undergoing a segmentectomy, lobectomy, or bilobectomy. Both open and minimally invasive (thoracoscopic or robotic) resections are acceptable.
Exclusion Criteria:
- Patients unstable enough to require ICU care upon completion of the resection
- Redo thoracotomies
Contacts and Locations| Contact: Cecilia Pompili, MD | +390715964439 | ceciliapompili@gmail.com |
| Italy | |
| Ospedali Riuniti Ancona | Not yet recruiting |
| Ancona, Italy, 60122 | |
| Contact: Cecilia Pompili, MD +390715964439 ceciliapompili@gmail.com | |
| Principal Investigator: Cecilia Pompili, MD | |
| Principal Investigator: | Cecilia Pompili, MD | Ospedali Riuniti Ancona, Italy |
More Information
No publications provided
| Responsible Party: | Cecilia Pompili, MD, Ospedali Riuniti Ancona |
| ClinicalTrials.gov Identifier: | NCT01747889 History of Changes |
| Other Study ID Numbers: | PATSAT-2012-1 |
| Study First Received: | December 7, 2012 |
| Last Updated: | December 11, 2012 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Ospedali Riuniti Ancona:
|
chest tube lung resection patient satisfaction mobility |
Additional relevant MeSH terms:
|
Lung Neoplasms Respiratory Tract Neoplasms Thoracic Neoplasms Neoplasms by Site |
Neoplasms Lung Diseases Respiratory Tract Diseases |
ClinicalTrials.gov processed this record on June 17, 2013