Is Intercostal Tube Enough in Management of Empyema

Assiut University

Status: Not yet enrolling

Conditions: Empyema

Treatments: Device: intercostal tube

Study type: Interventional

Funder types: Other

Identifiers

NCT06235359

empyema

Details and patient eligibility

About

Is intercostal tube enough in management of empyema ?

Full description

Empyema refers to presence of pus in the pleural space -Causes Primary: bacterial Pneumonia (staph aureus, strept pneumonia , H.influenza) , TB

Secondry :

PostTraumati postoperative :open heart , esophageal, mediastinum , lung rupture of lung absess

-pathophysiology and stages During an inflammatory process such as pneumonia, there is an increase in fluid production in the pleural cavity known as the exudate stage. As the disease progresses microorganisms, usually bacteria, can colonize the fluid and generated an empyema. This fluid is characterized by elevated lactate dehydrogenase, proteins, neutrophils, and dead cells. Macroscopically is a thick opaque fluid found in the fibrinopurulent stage. After the resolution of the infection and as a consequence of the inflammation, there is a process of fibrosis that can lead to restriction of the lung parenchyma which is stage of chronic organization

Enrollment: 100 estimated patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• patients admitted to Assuit university Hospital and diagnosed with empyema

Exclusion criteria

• Patient diagnosed with Post-operative empyema
• Patient diagnosed with post traumatic empyema
• Patient diagnosed with Bronchopleural fistula
• Patient diagnosed with TB

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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100 participants in 1 patient group

intercostal tube

Other group

Description:

A chest tube is a hollow, flexible tube placed into the chest. It acts as a drain. Chest tubes drain blood, fluid, or air from around your lungs, heart, or esophagus. The tube around your lung is placed between your ribs and into the space between the inner lining and the outer lining of your chest cavity. This is called the pleural space. It allows your lungs to fully expand.

Treatment:

Device: intercostal tube