Urine Bag Usage Versus Chest Drain Clamping After Lung Resection Surgeries

Al-Quds University

Status: Unknown

Conditions: Pneumothorax and Air Leak; Pneumothorax; Pleural Effusion; Pleura Injury

Treatments: Other: Urine bag; Other: Clamping

Study type: Interventional

Funder types: Other

Identifiers

NCT05230420

02/REC-CT/2021

Details and patient eligibility

About

Investigators will compare two different approaches of postoperative drainage after the standard water-seal drain has been used efficiently; one is by using urine bag and check it get blown by the leaked air, two is by using clamping of the water seal drain. Investigators will compare them depending on several factors such as; cost effectiveness, hospital stay, duration of putting the drain and more, reinsertion of the chest tube and others.

Enrollment: 160 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• post lung resection patients (via Uniportal VATS only)
• Over the age of 18
• indicated chest tube

Exclusion criteria

• Under the age of 18

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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160 participants in 2 patient groups

Clamping

Experimental group

Description:

This arm will undergo chest drain clamping after a certain criteria has been met. Four hours post clamping a chest x-ray will be made, and the presence of pneumothorax will be assessed. The chest drain will be removed only in the absence of pneumothorax, if pneumothorax persists patients will stay attached to the underwater seal

Treatment:

Other: Clamping

Urine bag

Active Comparator group

Description:

The second arm will be attached to a urine bag, and bag inflation will be measured after a certain criteria has been met. bag inflation will be assessed four hours after its attachment. Bag inflation indicates the persistence of an air leak, thus the absence of bag inflation indicates the removal of the chest drain

Treatment:

Other: Urine bag