Pulmonary lobectomy Surgery Pulmonary lobectomy
Conditions
Interventions
Following pulmonary lobectomy (lower or upper lobes) patients are randomly assigned (1:1) by sequentially numbered, opaque, and sealed envelopes to one of two groups. Participants receive either low e
patients have to be well pain managed and mobilized. There is no upper limit on fluid output (providing it is serous and no chylous). Air leak is < 20 ml/min with no spikes for 6 hours or < 50 ml/min
Sponsors
Department of Cardiothoracic and Vascular Surgery
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Admitted for lobectomy (by thoracotomy or video-assisted thoracoscopic surgery [VATS] as decided by the surgeon) 2. Aged over 18 years 3. Ability to give informed consent
Exclusion criteria
Exclusion criteria: 1. Previous history of pulmonary or cardiac surgery 2. Expected difficulties with postoperative mobilization 3. Participation in concomitant research studies in our department in which a different chest drainage protocol could influence these results 4. Anticipation of a need for postoperative mechanical ventilation 5. Insertion of more than one chest drain 6. Bilobectomy or middle lobectomy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Duration of air leakage is measured using the time of end of surgery and the time when the chest drain was removed (information from electronic patient charts). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Fluid output is measured by recording measurements from the drainage device cannister on the patient chart. 2. Length of stay is recorded from hospital records. 3. Re-insertion of chest drains (complications) is recorded using the information from the patient chart. | — |
Countries
Denmark
Outcome results
None listed