Chest Tube Removal
Conditions
Keywords
Thoracotomy, Inspiration, Expiration, Chest Tube, pneumothorax, Method of chest tube removal
Brief summary
There are two commonly used methods to remove chest tubes following thoracotomy. One is to remove the chest tube at maximum inspiration, (patient is asked to take a deep breath in and hold it), and the other is to pull the chest tube at maximum expiration,(patient is asked to blow out as much air as they can can and hold it). There has been considerable discussion among Thoracic surgeons that one of these two methods may decrease the risk of pneumothorax, the most common complication associated with chest tube removal. The investigators will compare the two methods, and also identify risk factors of developing pneumothorax during chest tube removal.
Interventions
PROCEDUREChest tube pull on inspiration
Pull chest tube on Inspiration
PROCEDUREExpiration
Pull chest tube on Expiration
Sponsors
University of Alabama at Birmingham
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
19 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Patients who are post thoracotomy, pulmonary resection (wedge, lobectomy, segmentectomy, pneumonectomy), AND * Have at least one chest tube.
Exclusion criteria
* Less than 19 years old, * With interstitial lung disease, OR * Any patient intubated.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pneumothorax | Within 4 hours after chest tube removal |
Secondary
| Measure | Time frame |
|---|---|
| Morbidity | 4 hours after chest tube removal |
Countries
United States
Outcome results
None listed