Same Day Discharge for Wedge Resection

The Development of a Novel Same Day Discharge Program After Pulmonary Resection: A Safety and Feasibility Pilot Study

Monitoring carefully selected participants to determine if participants can be safely discharged the same day of pulmonary resection

Determination of the feasibility of implementing a same day discharge program after minor pulmonary surgery. This will be determined by evaluating the percentage of participants who have chest tubes removed successfully, as well as evaluating the percentage of participants who would be classified as discharged on the day of surgery. The investigators will also be evaluating morbidity associated with this protocol by capturing rates of pleural reintervention.

Inclusion Criteria:

Patients aged 18 years of age and older who are scheduled to undergo an elective minimally invasive wedge resection of their lung.

Exclusion Criteria:

1. Pulmonary function tests demonstrating forced expiratory volume in 1 second (FEV1) <50% predicted, FEV1 <1.5L and/or diffusion lung capacity of carbon monoxide (DLCO) <50% predicted.
2. Patient receives an intraoperative pleurodesis.
3. Conversion to open thoracotomy or mini thoracotomy intraoperatively.
4. Active pregnancy.
5. Thoracic Revised Cardiac Risk Index Score (ThRCRI)8 >2.
6. Underlying cognitive disorder resulting in inability to complete activities of daily living.