Lung Diseases
Conditions
Keywords
Postoperative pain, Avoiding chest drainage placement, Hospital cost
Brief summary
This is a prospective randomized controlled trial.The main study content is the feasibility and safety of avoiding chest tube placement after Video-Assisted Thoracoscopic Surgery lung disease,participants were randomly divided into experimental group and control group.Avoiding chest tube placement after VATS of the lung in the experimental group.Indwelling thoracic drainage tube after VATS of the lung in the control group.
Detailed description
This is a prospective randomized controlled trial.The main study content is the feasibility and safety of avoiding chest tube placement after VATS of the lung,divided into experiment group and control group.Communicating with surgeon and patients who met the inclusion criteria,decided whether to enter the experimental group or control group. Experimental group avoid chest tube placement after VATS of the lung and control group indwell thoracic drainage tube after VATS of the lung.By collecting personal information of two groups of patients and the corresponding observation indicators to analyze whether the treatment of avoiding chest tube placement after VATS of the lung is more beneficial than the conventional indwell thoracic drainage tube after VATS of the lung,and it's safe and feasible.
Interventions
PROCEDUREavoid chest drainage tube placement after video-assisted thoracoscopic wedge resection of lung
Avoiding chest drainage tube placement after VATS of the lung in the experiment group.
PROCEDUREIndewlling chest drainage tube after video-assisted thoracoscopic wedge resection of lung
Indewlling chest drainage tube after VATS of lung in the control group.
Sponsors
Xueying Yang
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
This is a randomized controlled trial.Partcipants,Care Provider, and Investigator all know the grouping situation.The Investigator collect the information and observation indicators of the two groups of participant and send the outcomes.
Intervention model description
This is a randomized controlled trial.The main study content is the feasibility and safety of avoiding chest tube placement after VATS of the lung,participants were divided into experimental group and control group.Avoiding chest tube placement after VATS of the lung in the experimental group.Indwelling thoracic drainage tube after VATS of the lung in the control group.
Eligibility
Sex/Gender
ALL
Age
18 Years to 75 Years
Healthy volunteers
Yes
Inclusion criteria
\- 1.Age ranges from 18 to 75 years old,do the examination of chest CT showed pulmonary disease,no invasion of peripheral blood vessels and viscera,no pleural effusion and pericardial effusion. 2.Electrocardiogram, pulmonary function,color doppler ultrasound of the heart,arteries and veins of both lower limbs are normal,no potential infection was confirmed before surgery, no serious organic disease of the heart and lung,and no obvious operation contrain.
Exclusion criteria
* 1.The lungs continue to leak air preoperation more than six days. 2.The appearment of the hemothorax,empyema and chylothorax preoperative. 3.The appearment of the preoperative chest X-ray pulmonary atelectasis and pulmonary infection. 4.The lungs leak air appears in the surgery. 5.Patients with severe cardiovascular and cerebrovascular accident after operation were terminated. 6.Impaired lung function (forced expiratory volume in 1 second \[FEV1\]\<60% predicted).
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| operation time | 1 day | From the beginnning of ansesthesia to the end of anesthesia |
| hospitalization expenses | 15 days | the total cost of hospitalzation |
| postoperative complication rate | a month | incidence of postoperative complications such as pneumothorax and hydrohorax |
| duration of postoperation pain | 10 days | postoperative pain duration |
| VAS pain scores | 3 days | the VAS pain score was given to patients and the pain scores were recorded at 6h,12h,24h,48h,and 72h postoperatively.The minimum score is 0 and the maximum score is 10.The high values represent a worse outcome. |
| the time of early ambulation after operation | 1 day | the time from the patient's postoperative pushback to the first bedtime |
| postoperative extubation time | 1 day | postoperative extubation time |
Countries
China
Contacts
Primary ContactXueying Yang, M.D.
Outcome results
None listed