Video-tube thoracostomy in trauma resuscitation: A pilot study

Conditions

None listed

Brief summary

We wish to demonstrate that in adult patients with thoracic trauma requiring tube thoracostomy, the insertion of a sterile, flexible endoscope into the intercostal catheter at the time of insertion will allow direct visualization and guided placement of the catheter into the ideal position. The aim of this small, prospective, preliminary Phase 1 equivalent study is to refine the set-up, procedure, logistics and Trauma Team mechanics related to video-assisted ICC placement. It will be the basis for a larger, randomized trial to determine whether this new technique will remove the commonest complication of ICC insertion for trauma and lead to improved outcomes and a reduced length of hospital stay.

Related papers

No related papers found yet.

Interventions

Under local anesthesia and/or procedural sedation a sterilized Karl Storz Endoscope will be inserted into a 28F intercostal catheter (ICC) and under full aseptic technique inserted through a standard ICC chest incision into the pleural space by the operating emergency or trauma physician. This will permit visualization and navigation of tissue planes and intra-pleural structures guiding ICC placement. Once placed the ICC will be secured to the chest wall and chest incision closed by suturing,

Under local anesthesia and/or procedural sedation a sterilized Karl Storz Endoscope will be inserted into a 28F intercostal catheter (ICC) and under full aseptic technique inserted through a standard ICC chest incision into the pleural space by the operating emergency or trauma physician. This will permit visualization and navigation of tissue planes and intra-pleural structures guiding ICC placement. Once placed the ICC will be secured to the chest wall and chest incision closed by suturing, the endoscope will be removed and the ICC connected to an underwater chest drain. The duration of procedure is estimated at less than 20 minutes for completion.

Study design

Allocation

Non-randomised trial

Intervention model

Parallel

Primary purpose

Treatment

Masking

Open (masking not used)

Eligibility

Sex/Gender

All

Age

18 Years to 75 Years

Healthy volunteers

No

Inclusion criteria

Thoracic Trauma patients; 18 -75 years of age requiring pleural decompression, intercostal catheter insertion and drainage

Exclusion criteria

Haemodynamically unstable patients

Outcome results