Evaluation of Thoracic Ultrasound in Monitoring Pleural Drainage in Postoperative Thoracic Surgery (EchTHor)

University of Limoges (UL)

Status: Completed

Conditions: Thoracic Ultrasound; Pleural Drain Removal

Treatments: Procedure: Thoracic ultrasound versus chest X-ray

Study type: Interventional

Funder types: Other

Identifiers

NCT05545566

87RI22_0022 (EchTHor)

Details and patient eligibility

About

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.

Full description

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.

Several studies have defended the place of ultrasound in thoracic imaging and its contribution to the detection of postoperative and intensive care complications.

Unlike radiography, this technique is non-irradiating, less expensive and more readily available. It allows the detection of pneumothorax, pleural effusions and other complications detectable on X-ray.

To our knowledge, the contribution of thoracic ultrasound has not been studied in the decision to authorize the discharge of the patient after removal of the thoracic drain.

Enrollment: 60 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

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.

Exclusion criteria

• 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

Trial design

Primary purpose: Diagnostic

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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60 participants in 1 patient group

All patients

Experimental group

Treatment:

Procedure: Thoracic ultrasound versus chest X-ray