Duration of Chest Tube Suction in Traumatic Pneumothorax

University of Rochester

Status

Withdrawn

Conditions

Traumatic Pneumothorax

Treatments

Procedure: Chest tube suction

Study type

Interventional

Funder types

Other

Identifiers

NCT04986527

STUDY00005364

Details and patient eligibility

About

The purpose of this pilot study is to determine whether chest tube suction duration, 24 hours vs 48 hours, prior to water seal affects outcome and length of stay after placement for traumatic pneumothorax.

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Trauma service consult/patient
Traumatic pneumothorax with chest tube placed within 0-24 hours of presentation and confirmation of adequate position
Age >18
Blunt or penetrating mechanism
Chest tubes sizes 14 to 32Fr
Chest tubes placed by residents on the trauma surgery service supervised by attending trauma surgeons or placed by the attending surgeon themselves
Presence of single chest tube in one or both pleural cavities (single unilateral or bilateral tubes)
Subjects with decision making capacity (DMC) who are able to provide written consent. DMC will be determined by the consenting physician through a teach back mechanism. Subjects must demonstrate understanding of the situation, appreciation of the consequences of their decision, reasoning of their thought process, and be able to communicate their wishes.

Exclusion criteria

Age <18
Pregnant patients
Prisoners
Mechanically ventilated in ICU for more than 24 hours while chest tube in place
Chest tubes placed as part of, or present during, a thoracic operation
History of surgery involving pleural cavity ipsilateral to chest tube
Subjects with more than one chest tube on the ipsilateral side at any time prior to study chest tube removal
Subjects with chylothorax or empyema
Subjects with chest tubes that are withdrawn or removed unintentionally
Subjects with known or suspected bronchial injury
Subjects with bullous emphysema.