Air Leak From Lung
Conditions
Keywords
Pneumostasis, Bio-absorbable mesh, Lung resection, Neoveil
Brief summary
Prolonged air leak, defined as air leak present 5 days after lung resection, is one of the most common complications after lung resection. This leads to patient discomfort (as the chest tube has to stay in place while air leak is present), prolonged stay, and increased cost. NeoVeil is a bioabsorbable glycolic acid which has been used in Japan and other Asian countries for air leak prevention after lung resections. NeoVeil is impregnated with fibrin sealant materials and is placed on the lung surface at the time of operation. It then acts as a scaffold on resected area which is prone to air leak. This randomized clinical trial will be the first in the United States to test its efficacy for air leak prevention.
Interventions
Neoveil is a polyglycolic acid felt that has been shown to decrease the incidence of prolonged air leak after lung resection in Japan.
Standard of care after air leak post lung resection
Sponsors
Study design
Intervention model description
Stratified block randomization will be done using known predictors of prolonged air leak: 1) surgical procedure (wedge vs lobectomy) and 2) presence of pulmonary comorbidities (chronic obstructive pulmonary disease and emphysema).
Eligibility
Inclusion criteria
* Patients undergoing elective lung resection at BMC * Intra-operative diagnosis of air leak
Exclusion criteria
* Patients undergoing emergency lung resection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to removal of chest tubes | 2 years | The time in hours to removal of chest tubes post lung resection will be abstracted from the electronic medical record of each participant. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of hospital stay | 2 years | The length of hospital stay in days will be abstracted from the electronic medical record of each participant. |
| Number of participants with additional interventions for air leak | 2 years | The number of participants requiring additional interventions post lung resection will be abstracted from the electronic medical record of each participant. |
Countries
United States