Lung Cancer, Minor, Surgery
Conditions
Brief summary
Monitoring carefully selected participants to determine if participants can be safely discharged the same day of pulmonary resection
Detailed description
Determination of the feasibility of implementing a same day discharge program after minor pulmonary surgery. This will be determined by evaluating the percentage of participants who have chest tubes removed successfully, as well as evaluating the percentage of participants who would be classified as discharged on the day of surgery. The investigators will also be evaluating morbidity associated with this protocol by capturing rates of pleural reintervention.
Interventions
OTHERsame day discharge
same day discharge
Sponsors
London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's
Study design
Allocation
NA
Intervention model
SEQUENTIAL
Primary purpose
OTHER
Masking
NONE
Intervention model description
2 phases
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Patients aged 18 years of age and older who are scheduled to undergo an elective minimally invasive wedge resection of their lung.
Exclusion criteria
1. Pulmonary function tests demonstrating forced expiratory volume in 1 second (FEV1) \<50% predicted, FEV1 \<1.5L and/or diffusion lung capacity of carbon monoxide (DLCO) \<50% predicted. 2. Patient receives an intraoperative pleurodesis. 3. Conversion to open thoracotomy or mini thoracotomy intraoperatively. 4. Active pregnancy. 5. Thoracic Revised Cardiac Risk Index Score (ThRCRI)8 \>2. 6. Underlying cognitive disorder resulting in inability to complete activities of daily living.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of successful same day discharge | 2 years | These patients will have their chest tube removed once they meet chest tube removal criteria and will be discharged home once they meet discharge criteria. |
Countries
Canada
Outcome results
None listed