Negative Pleural Suction for Tube Thoracostomy in Patients With Chest Trauma

Universidad de Antioquia

Status: Completed

Conditions: Chest Injury Penetrating Wound; Hemopneumothorax; Pneumothorax; Hemothorax; Chest Injury Trauma; Chest Injury Trauma Blunt

Treatments: Other: Water seal; Other: Negative Pleural Suction at -20 cm H2O

Study type: Interventional

Funder types: Other

Identifiers

NCT01864577

01UDEACx2013

Details and patient eligibility

About

The purpose of this study is to determine whether the use of negative pleural suction in tube thoracostomy is more effective than water seal alone for the treatment of pneumothorax and/or hemothorax in patients with chest trauma.

Enrollment: 110 patients

Sex: All

Ages: 15+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Pneumothorax after penetrating o blunt chest trauma
• Hemothorax after penetrating o blunt chest trauma
• Hemopneumothorax after penetrating o blunt chest trauma
• Require tube thoracostomy

Exclusion criteria

• Invasive mechanical ventilation
• Emergent Surgery (thoracoscopy, open thoracotomy)
• Chronic pulmonary diseases (COPD, CRPD)
• Severe traumatic brain injury
• Glasgow coma scale upon arrival <8/15

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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110 participants in 2 patient groups

With negative pleural suction

Experimental group

Description:

Patients are put on negative pleural suction at - 20 cm H2O

Treatment:

Other: Water seal

Other: Negative Pleural Suction at -20 cm H2O

With water seal

Active Comparator group

Description:

Patients al left on water seal only

Treatment:

Other: Water seal