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The purpose of this trial is to study the role of small bore chest drains in draining traumatic hemothorax and pneumothorax.
The precise role of small bore chest drains in treating post traumatic pleural collections, especially hemothorax is not well established. This trial is conducted to study the efficacy and safety profile of small bore chest drains in trauma patients with hemothorax and pneumothorax.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Small bore chest drain | Experimental | Intercostal drainage for traumatic hemothorax and pneumothorax using small bore chest drain |
|
| Large bore chest drain | Active Comparator | Intercostal drainage for traumatic hemothorax and pneumothorax using large bore chest drain |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Intercostal drainage | Device | Small bore chest drains are inserted by modified Seldinger's technique. Large bore chest drains are inserted by blunt dissection technique. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Success rate | Complete drainage of traumatic hemothorax and pneumothorax | 7 days (plus or minus 5 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Procedure time | Time taken for inserting the chest drain | At the time of the intervention |
| Iatrogenic injuries | Insertion related complications |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sunil Kumar, MS | Delhi University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University College of Medical Sciences & GTB Hospital | New Delhi | National Capital Territory of Delhi | 110095 | India |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 22205619 | Result | Yi JH, Liu HB, Zhang M, Wu JS, Yang JX, Chen JM, Xu SX, Wang JA. Management of traumatic hemothorax by closed thoracic drainage using a central venous catheter. J Zhejiang Univ Sci B. 2012 Jan;13(1):43-8. doi: 10.1631/jzus.B1100161. |
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| ID | Term |
|---|---|
| D011030 | Pneumothorax |
| ID | Term |
|---|---|
| D010995 | Pleural Diseases |
| D012140 | Respiratory Tract Diseases |
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| At the time of the intervention |
| Resolution time | Time taken for complete drainage of traumatic hemothorax and pneumothorax | 7 days (plus or minus 5 days) |
| Wound healing time | Time taken for the chest drain site wound to heal | 10 days (plus or minus 5 days) |
| Catheter sepsis | Identification of infective organisms from catheter tip based on culture following chest drain removal | 7 days (plus or minus 5 days) |