An interventional study of Low Suction Strategy of Chest Tube Management and Standard Suction Strategy of Chest Tube Management in Lung Cancer, sponsored by Allegheny Singer Research Institute (also known as Allegheny Health Network Research Institute). Status unknown at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-04-25.
Sponsored by Allegheny Singer Research Institute (also known as Allegheny Health Network Research Institute) · Not applicable, Interventional, and Treatment
Chest tubes are routinely required after surgical procedures for lung cancer. This device is a flexible plastic tube that is inserted through the chest wall to remove air or fluid from around your lungs after surgery for lung cancer. There are two general strategies associated with the clinical management of chest tubes, active and passive suction. If suction is compared to driving a car, active suction is similar to pressing the gas pedal while passive suction is like letting your car move on its own. The suction approach taken by surgeons largely depends on how they were trained and some personal biases and beliefs. However there is no general consensus about which chest tube management strategy is best.
This research aims to compare two settings on a digital drainage system, a low suction (LS) mode - passive suction - and standard suction (ss) mode - active suction. From the data collected, the researchers will analyze whether LS or SS will lead to a better recovery after surgery.
7,334 studies on the registry are indexed under Lung Neoplasms; 1,554 are open to participants now.
This study's planned enrollment of 160 is above the median of 60 across 5,345 interventional studies indexed under Lung Neoplasms.
Browse Lung Neoplasms studies →Allegheny Singer Research Institute (also known as Allegheny Health Network Research Institute) is the lead sponsor of 47 studies on the registry; 18 are open to participants now.
Of its 9 completed or terminated interventional studies of FDA-regulated products, 4 (44%) have results posted.
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Exclusion Criteria:
Other: Low Suction Strategy of Chest Tube Management
Other: Standard Suction Strategy of Chest Tube Management
A digital chest tube will be set to a low pressure mode (-8mmHg) during recovery after minimally invasive lung resection.
A digital chest tube will be to the standard suction mode (-20mmHg) during recovery after minimally invasive lung resection.
Duration of air-leak
Days
Time frame: When the subject arrives to the recovery room directly after surgery, then every 24 hours while admitted to the hospital until air leak resolves (on average, up to 4 days)
Days from operation to chest tube removal
Days
Time frame: chest tube placement to chest tube removal on average up to 4 days
Incidence of prolonged air-leak
Rate of subjects who experience an air-leak which lasts for 5 or more days
Time frame: Categorial variable: Present or not. Determination of category is measured from onset of air-leak to air-leak resolution or 5 days, whichever comes first.
Duration of hospital stay
Days/Hours
Time frame: Date of surgery to date of discharge (up to 5 days on average)
Impact of suction strategy on patients with high Prolonged Air-Leak Score
Incidence of PAL based suction strategy
Time frame: duration of study participation which is until chest tube is removed, duration of hospital stay, or 30 days from operation, whichever is longer
Define cut-off air-leak value where prolonged air-leak is likely to occur, or standard suction strategy is preferable
mL/minute
Time frame: duration of study participation, which is until the chest-tube is removed, duration of initial hospital stay, or 30 days from operation, whichever is longer
This study is status unknown, as verified in Apr 2024. You cannot join it, but the record below documents what was studied.
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Allegheny Singer Research Institute (also known as Allegheny Health Network Research Institute)