Intercostal drain Respiratory
Conditions
Interventions
Randomisation will be via an online platform and will be 1:1, minimised by site and underlying aetiology. The standard arm will be insertion of a conventional chest drain as per standard British Thora
Sponsors
Royal Brompton & Harefield NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age 18 years or over 2. Able to give written informed consent 3. Requiring intercostal tube drainage for clinical reasons
Exclusion criteria
Exclusion criteria: 1. Inability to provide written informed consent 2. Requiring a large bore drain according to local PI or delegated person’s clinical judgement 3. Frank haemothorax (requiring a large bore chest drain in view of the local PI or delegated person) 4. Pleural space (known prior to intervention) to be too small to place either standard or interventional drain according to local PI or delegated person 5. Drain planned to be in situ for less than 24 hours 6. Any contraindication to chest drain insertion (such as uncorrected clotting abnormality) 7. Any patient in acute pain or with an emergency presentation where consideration of the study would inappropriately delay patient care
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Unintentional/accidental chest drain displacement rate (UACDR); Timepoint(s): Within 30 days | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Pain, measured using the visual analogue scale (VAS) at baseline then twice daily for the first 5 days or until the drain has been removed, whichever is sooner 2. Complications listed on the CRFs and to be recorded daily on the CRFs 3. Length of stay, further pleural procedures, number of days any chest drain in situ, number of radiological investigations, consequences of drain displacement, documented on CRFs up to 30 days after drain removal | — |
Countries
England, United Kingdom
Outcome results
None listed