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| Name | Class |
|---|---|
| Medela AG | INDUSTRY |
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The level of suction on post-operative chest tubes after video-assisted thoracoscopic surgery (VATS) lobectomy for lung cancer has previously shown to affect duration of drainage. These results, however, are based on traditional drainage systems with water seal and need to be confirmed using digital drainage systems.
Hypothesis: Suction of -2 cmH2O is equal to or superior compared with standard suction of -10 cmH2O when looking at chest tube duration and complications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Experimental | Post-operative suction is set to -2 cmH2O. |
|
| Group 2 | Active Comparator | Post-operative suction is set to -10 cmH2O (standard treatment). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Suction is set to -2 cmH2O | Device | Post-operative suction is set to -2 cmH2O (intervention). |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Chest tube duration through study completion, an average of 3 days. | Time from intraoperative chest tube placement to it's removal. | Through study completion, an average of 3 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Time to removal criteria have been fulfilled up to 24 hours | Chest tubes can be removed when the patient has been mobilized and the air leakage has not superceeded 20 mL/min in 12 hours and fluid production has not superceded 500 mL in 24 hours. | Duration from the post-operative chest tube has been placed, until it's potential removal. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Bo L. Holbek, MD | Rigshospitalet, Denmark | Principal Investigator |
| Merete Christensen, MD | Rigshospitalet, Denmark | Study Director |
| Jesper Ravn, MD | Rigshospitalet, Denmark | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rigshospitalet | Copenhagen | 2100 | Denmark |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 11888968 | Background | Marshall MB, Deeb ME, Bleier JI, Kucharczuk JC, Friedberg JS, Kaiser LR, Shrager JB. Suction vs water seal after pulmonary resection: a randomized prospective study. Chest. 2002 Mar;121(3):831-5. doi: 10.1378/chest.121.3.831. | |
| 20619231 | Background | Cerfolio RJ, Bryant AS. The management of chest tubes after pulmonary resection. Thorac Surg Clin. 2010 Aug;20(3):399-405. doi: 10.1016/j.thorsurg.2010.04.001. |
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| ID | Term |
|---|---|
| D002289 | Carcinoma, Non-Small-Cell Lung |
| ID | Term |
|---|---|
| D002283 | Carcinoma, Bronchogenic |
| D001984 | Bronchial Neoplasms |
| D008175 | Lung Neoplasms |
| D012142 | Respiratory Tract Neoplasms |
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| Suction is set to -10 cmH2O |
| Device |
Post-operative suction is set to -10 cmH2O (standard treatment). |
|
| Number of participants with prolonged air leak |
| Through study completion, an average of 7 days |
| Number of participants requiring treatment for prolonged air leak. | Through study completion, an average of 14 days |
| Number of participants requiring treatment for subcutaneous emphysema. | Through study completion, an average of 14 days |
| Number of participants with pneumonia or empyema. | Through study completion, an average of 21 days |
| Length of stay. | Through study completion, an average of 3 days |
| Number of participants with other respiratory problems. | Through study completion, an average of 30 days |
| Number of participants requiring readmission for thoracic surgical complications. | Through study completion, an average of 30 days |
| 21757129 | Background | Brunelli A, Beretta E, Cassivi SD, Cerfolio RJ, Detterbeck F, Kiefer T, Miserocchi G, Shrager J, Singhal S, Van Raemdonck D, Varela G. Consensus definitions to promote an evidence-based approach to management of the pleural space. A collaborative proposal by ESTS, AATS, STS, and GTSC. Eur J Cardiothorac Surg. 2011 Aug;40(2):291-7. doi: 10.1016/j.ejcts.2011.05.020. |
| 20833554 | Background | Gottgens KW, Siebenga J, Belgers EH, van Huijstee PJ, Bollen EC. Early removal of the chest tube after complete video-assisted thoracoscopic lobectomies. Eur J Cardiothorac Surg. 2011 Apr;39(4):575-8. doi: 10.1016/j.ejcts.2010.08.002. Epub 2010 Sep 15. |
| 20619233 | Background | Cerfolio RJ, Varela G, Brunelli A. Digital and smart chest drainage systems to monitor air leaks: the birth of a new era? Thorac Surg Clin. 2010 Aug;20(3):413-20. doi: 10.1016/j.thorsurg.2010.03.007. |
| 24906602 | Background | Pompili C, Detterbeck F, Papagiannopoulos K, Sihoe A, Vachlas K, Maxfield MW, Lim HC, Brunelli A. Multicenter international randomized comparison of objective and subjective outcomes between electronic and traditional chest drainage systems. Ann Thorac Surg. 2014 Aug;98(2):490-6; discussion 496-7. doi: 10.1016/j.athoracsur.2014.03.043. Epub 2014 Jun 4. |
| 30445572 | Derived | Holbek BL, Christensen M, Hansen HJ, Kehlet H, Petersen RH. The effects of low suction on digital drainage devices after lobectomy using video-assisted thoracoscopic surgery: a randomized controlled trialdagger. Eur J Cardiothorac Surg. 2019 Apr 1;55(4):673-681. doi: 10.1093/ejcts/ezy361. |
| D013899 |
| Thoracic Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |