Traumatic Hemothorax and Pneumothorax
Conditions
Brief summary
The purpose of this trial is to study the role of small bore chest drains in draining traumatic hemothorax and pneumothorax.
Detailed description
The precise role of small bore chest drains in treating post traumatic pleural collections, especially hemothorax is not well established. This trial is conducted to study the efficacy and safety profile of small bore chest drains in trauma patients with hemothorax and pneumothorax.
Interventions
DEVICEIntercostal drainage
Small bore chest drains are inserted by modified Seldinger's technique. Large bore chest drains are inserted by blunt dissection technique.
Sponsors
Delhi University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
16 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patients with traumatic hemothorax, pneumothorax and hemopneumothorax
Exclusion criteria
* Patients with tension pneumothorax * Patients requiring emergency thoracotomy * Patients who had undergone chest drain insertion elsewhere * Patients lost to follow up
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Success rate | 7 days (plus or minus 5 days) | Complete drainage of traumatic hemothorax and pneumothorax |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Procedure time | At the time of the intervention | Time taken for inserting the chest drain |
| Iatrogenic injuries | At the time of the intervention | Insertion related complications |
| Resolution time | 7 days (plus or minus 5 days) | Time taken for complete drainage of traumatic hemothorax and pneumothorax |
| Wound healing time | 10 days (plus or minus 5 days) | Time taken for the chest drain site wound to heal |
| Catheter sepsis | 7 days (plus or minus 5 days) | Identification of infective organisms from catheter tip based on culture following chest drain removal |
Countries
India
Outcome results
None listed