Hemothorax, Pneumothorax, Hemopneumothorax, Chest Injury Trauma Blunt, Chest Injury Trauma, Chest Injury Penetrating Wound
Conditions
Brief summary
The purpose of this study is to determine whether the use of negative pleural suction in tube thoracostomy is more effective than water seal alone for the treatment of pneumothorax and/or hemothorax in patients with chest trauma.
Interventions
OTHERNegative Pleural Suction at -20 cm H2O
OTHERWater seal
Sponsors
Hospital San Vicente Fundación
Universidad de Antioquia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
15 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Pneumothorax after penetrating o blunt chest trauma * Hemothorax after penetrating o blunt chest trauma * Hemopneumothorax after penetrating o blunt chest trauma * Require tube thoracostomy
Exclusion criteria
* Invasive mechanical ventilation * Emergent Surgery (thoracoscopy, open thoracotomy) * Chronic pulmonary diseases (COPD, CRPD) * Severe traumatic brain injury * Glasgow coma scale upon arrival \<8/15
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lenght of Hospital stay | 30 days |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of persistent bronchopleural fistulae | 30 days |
| Incidence of coagulated Hemothorax | 30 days |
| Incidence of empyema | 30 days |
| Incidence of recurrent pneumothorax | 30 days |
| Number of patients necessitating surgical interventions (includes new thoracostomy, thoracoscopy and open thoracotomy) | 30 days |
Countries
Colombia
Outcome results
None listed