Health Condition 1: S271- Traumatic hemothorax
Conditions
Interventions
Intervention1: Thoracic irrigation: In patients with traumatic hemothorax undergoing tube thoracostomy, thoracic cavity irrigation involves the instillation of 1 liter of warm sterile normal saline (0
Sponsors
Jeeshan Khan
Eligibility
Inclusion criteria
Inclusion criteria: i. Adults aged 18 years or older with confirmed traumatic hemothorax requiring tube thoracostomy. ii. Patients presenting within 24 hours of injury during the study period. iii. Patients who provide written informed consent to participate in the study.
Exclusion criteria
Exclusion criteria: iv. Patients requiring immediate thoracotomy or video-assisted thoracoscopic surgery (VATS). v. Isolated pneumothorax without evidence of hemothorax. vi. Tube thoracostomy performed more than 24 hours after the initial trauma. vii. Hemodynamically unstable patients requiring emergency surgical intervention. viii. Patients who had thoracostomy tube placement at another institution prior to transfer. ix. Patients whose thoracostomy tube is removed within 24 hours of placement. x. Patients who die within 48 hours of hospital admission. xi. Patients younger than 18 years of age. xii. Patients who refuse consent to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of retained hemothorax requiring secondary interventions such as VATS, thrombolysis, or additional tube thoracostomy.Timepoint: at 1 week, 2 weeks, 30 days | — |
Secondary
| Measure | Time frame |
|---|---|
| i. Incidence of retained hemothorax between the two groups. ii. Duration of hospital stay. iii. Development of complications such as empyema, fibrothorax, or infection. Timepoint: at 1 week, 2 weeks, 30 days | — |
Countries
India
Contacts
Public ContactJeeshan Khan
All India Institute of Medical Science Patna
Outcome results
None listed