Health Condition 1: S298- Other specified injuries of thorax Health Condition 2: S271- Traumatic hemothorax
Conditions
Interventions
Intervention1: VATS (Video Assisted Thoracoscopic Surgery): VATS IS MINIMALLY INVASIVE SURGERY WHICH WILL BE PERFORMED TO DRAIN RESIDUAL HEMOTHORAX (200ML) BETWEEN 48-72 HOURS OF INJURY/ICD PLACEMENT.
Sponsors
JPNATC AIIMS NEW DELHI
Eligibility
Inclusion criteria
Inclusion criteria: 1-Cases presented in ED with Traumatic Hemothorax/Hemopnemothorax, drained with ICD placement within 12 hours of Injury. 2-Blunt as well as penetrating thoracic trauma with hemothorax. 3-Isolated thoracic as well as polytrauma patient with Abbreviated Injury Score (AIS) of 3 or less in body regions other than thoracic Region. 4-Age group between 15 years to 65 years.
Exclusion criteria
Exclusion criteria: 1-Unfit for surgical intervention 2-Referred cases with Traumatic Hemothorax / Hemopnemothorax with ICD insitu, presented after more than 48 hours of Injury. 3-Requiring or undergoing emergent thoracotomy. 4-Patient with severe medical disease like Congestive heart disease, End Stage Renal Disease, Severe liver cirrhosis, COPD etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Total Length of stay (total ventilatory days, ICU days and total hospital days).Timepoint: At the time of discharge of the patient. | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of retained hemothorax after early VATS. Timepoint: TILL DISCHARGE;Incidence of Complications (empyema, Pneumonia, sepsis).Timepoint: TILL DISCHARGE;Incidence of Conversion to open Thoracotomy for drainage of Hemothorax.Timepoint: TILL DISCHARGE;Requirement of additional intervention (intra-pleural instillation of streptokinase, Image guided catheter or open thoracotomy).Timepoint: TILL DISCHARGE | — |
Countries
India
Contacts
Public ContactDINESH CHAND GORA
JPNATC, AIIMS- NEW DELHI
Outcome results
None listed