Comparing the Effects of Clamping vs. Not Clamping Chest Drains Before Removal on the Need for Future Drainage in Pneumothorax Patients

Assessing the Effect of Intercostal Drain Clamping Prior to Removal versus No Clamping on Subsequent Ipsilateral Invasive Pleural Drainage in Pneumothorax Patients: A Randomized Controlled Trial - NIL

Status

Recruiting

Phases

Phase 4

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2024/09/074167

Enrollment

138

Registered

2024-09-23

Start date

Unknown

Completion date

Unknown

Last updated

2025-09-15

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: J939- Pneumothorax, unspecified

Interventions

Intervention1: Clamping group: The chest tube will be clamped for 6 hours, followed by chest radiography. After a successful clamping trial, the ICD will be removed, and the patient will be observed u

Eligibility

Inclusion criteria

Inclusion criteria: Diagnosis of ?pneumothorax ?, planned for ICD removal (There is full lung re-expansion and cessation of air leak)

Exclusion criteria

Exclusion criteria: Patients with significant hydropneumothorax/pyopneumothorax/haemothorax Bilateral pneumothorax Trapped lung Patients who were on invasive mechanical ventilation at the time of tube removal

Design outcomes

Primary

Measure	Time frame
Comparison of proportion of patients undergoing Ipsilateral invasive pleural drainage procedure up to 24 hours of chest drain removal between groups A and B.Timepoint: 24 hours	—

Secondary

Measure	Time frame
To determine the proportion of patients detected with occult air leak by clamping prior to ICD removal.Timepoint: 6 hours;Comparison of the proportion of patients developing pneumothorax up to 24 hours of ICD removal in groups A and B.Timepoint: 24 hours;Comparison of the proportion of patients with complications in both groupsTimepoint: 24 hours;Comparison of the median duration of hospital stay amongst two groups.Timepoint: Till discharge	—

Measure

Time frame

To determine the proportion of patients detected with occult air leak by clamping prior to ICD removal.Timepoint: 6 hours;Comparison of the proportion of patients developing pneumothorax up to 24 hours of ICD removal in groups A and B.Timepoint: 24 hours;Comparison of the proportion of patients with complications in both groupsTimepoint: 24 hours;Comparison of the median duration of hospital stay amongst two groups.Timepoint: Till discharge

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Countries

India

Contacts

Public ContactRuchi Dua

All India Institute of Medical Sciences

shivjmv@gmail.com8575108929

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026