Digital Air Leak Monitoring for Patients Undergoing Lung Resection
|Pneumothorax Atelectasis||Device: Digital pleural drainage system Device: Dry suction pleura drainage device|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: No masking
Primary Purpose: Treatment
|Official Title:||Digital Air Leak Monitoring for Patients Undergoing Lung Resection: A Randomized Controlled Clinical Trial|
- length of hospital stay [ Time Frame: one year ]
The primary objective of this study will be the length of hospital stay from the day of surgery until the day of hospital discharge. The average length of hospital stay is 7 days.
A subgroup analysis will be done to determine the impact of a video-assisted operative approach on length of stay and duration of chest tube drainage in comparison to thoracotomy.
- duration of chest tube insertion [ Time Frame: one year ]The duration of chest tube drainage which will also be measured in days from the time of insertion in the operating room until they are removed.
- post chest tube removal complications [ Time Frame: one year ]
- Post-chest tube removal pneumothorax. A significant pneumothorax will be defined as the presence of a space greater than 2cm at the apex and lateral aspect of the lung.
- Presence of atelectasis as determined by the dictating radiologist on chest x-ray from the second post-operative day.
- Need for chest tube re-insertion.
|Study Start Date:||April 2013|
|Study Completion Date:||January 2017|
|Primary Completion Date:||April 2016 (Final data collection date for primary outcome measure)|
Active Comparator: Dry suction pleural drainage system
The control group will have their chest tube connected to a dry suction pleural drainage system The intervention will be the dry suction pleural drainage system
Device: Dry suction pleura drainage device
Disposable dry suction operating system. Collects pleural fluid and monitors for air leak.
Other Name: Oasis dry suction water seal pleural drainage system
Experimental: Digital pleural drainage system
The experimental group will have their chest tube connected to a digital pleural drainage. The intervention will be the digital pleural drainage system.
Device: Digital pleural drainage system
Reusable device with disposable collection system for digital monitoring of air leak.
Other Name: ATMOS pleural drainage system
Technology has become a driving force in surgery. From robotics to digital monitoring of oxygen saturation, it has revolutionized the way we care for patients. However, new technology comes at a cost to our healthcare system. It is therefore important to ensure that new devices actually improve outcomes. One example of this is minimally invasive surgery, which decreases morbidity to patients and reduces length of hospital stay. Unfortunately, despite this advance in lung surgery, delays in discharge from hospital are still prevalent due to prolonged air leaks. Many intra-operative methods have been explored in order to limit this issue with underwhelming success. This is why we are proposing a randomized controlled trial comparing a digital pleural collection system by ATMOS to traditional pleural collection devices by Atrium.
Our research question is: Can the use of a digital air leak monitoring system decrease hospital stay in patients undergoing anatomical lung resection when compared to traditional pleural drainage systems?
Please refer to this study by its ClinicalTrials.gov identifier: NCT01810172
|Canada, Nova Scotia|
|Capital Health District Authority|
|Halifax, Nova Scotia, Canada, B3H 2Y9|
|Principal Investigator:||Madelaine M Plourde, MD,MSc,FRCSC||CDHA|