Health Condition 1: J942- Hemothorax Health Condition 2: O- Medical and Surgical Health Condition 3: J90- Pleural effusion, not elsewhere classified Health Condition 4: J930- Spontaneous tension pneumothorax Health Condition 5: S272- Traumatic hemopneumothorax Health Condition 6: S271- Traumatic hemothorax Health Condition 7: S270- Traumatic pneumothorax
Conditions
Interventions
Intervention1: Nil: Nil
Intervention2: Trocar technique for ICD insertion: Sharp trocar thoracostomy using trocar to create pathway for chest drain tube insertion at fourth or fifth intercostal space
Sponsors
Department of Surgery Jawaharlal Nehru Medical College,
Eligibility
Inclusion criteria
Inclusion criteria: All patients requiring intercostal drainage tube insertion for pneumothorax haemothorax pleural effusion or hemopneumothorax aged between 18 to 65 years giving written informed consent for the study and ICD insertion
Exclusion criteria
Exclusion criteria: Patients with empyema patients with bilateral intercostal drainage insertion planned patients in whom pain cannot be assessed including those with altered consciousness severe cognitive impairment or inability to communicate pain score patients receiving therapeutic anticoagulation with uncontrolled coagulopathy pregnant or lactating women patients with prior thoracotomy on the same side and those with chest wall deformities at the insertion site
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of tube malposition on post-procedure chest X-ray defined as intrafissural intraparenchymal extrathoracic or subdiaphragmatic placement requiring repositioningTimepoint: Rate of tube malposition on post-procedure - just after procedure chest X-ray defined as intrafissural intraparenchymal extrathoracic or subdiaphragmatic placement requiring repositioning- just after procedure | — |
Secondary
| Measure | Time frame |
|---|---|
| Composite major complication rate within 30 days including organ injury significant bleeding infection subcutaneous emphysema requiring intervention and tube dislodgement requiring reinsertionTimepoint: Within 30 days after ICD insertion;Procedure duration measured from skin incision to tube secured and connected to drainage systemTimepoint: Immediately after procedure completion;Pain intensity measured by Visual Analog Scale VAS 0 to 10 at restTimepoint: Day 1 Day 5 and Day 10 after ICD insertion | — |
Countries
India
Contacts
Public ContactDr Suresh Chandak
Jawaharlal Nehru Medical College, Datta Meghe Institute Of Higher Education And Research
Outcome results
None listed