lung rupture pneumothorax
Conditions
Interventions
Conventional chest tube drainage:
After skin desinfection and field preparation, a pneumocath catheter with a
diameter of 2,7 mm will be introduced in the second or third intercostal space
in the a
Sponsors
Isala Klinieken
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: 1.patients with a first episode of a symptomatic pneumothorax admitted to the ER of the hospital (spontaneous or traumatic) or 2.patients with an asymptomatic pneumothorax with a size of >= 20 % as estimated by Light*s formula. 3.age >= 18 and
Exclusion criteria
Exclusion criteria: 1.re-pneumothorax 2.lung fibrosis 3.pregnant women 4.comorbidity limiting decision making (psychiatric disease, alcohol or drug abuse 5.COPD patients. 6.Marfan syndrome. 7.lung cancer patients. 8.tension pneumothorax. 9.prior randomisation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1.The duration of LOS of each technique. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.The success rate of each technique: 1. immediate: see below 2. two weeks: continous expansion 3. one year: no recurrence of the pneumothorax. Conventional chest tube drainage; complete expansion of the lung, counteraction of the air leak and removal of the drain within 72 hours (immediate). Manual aspiration: complete expansion and discharge within 24 hours (immediate). | — |
Countries
Netherlands
Outcome results
None listed