Optimization of Chest Tube Drainage Management

Study Overview
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Brief Summary
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Early recovery after surgery was new developing science in recent years. However , there was few reports in thoracic surgery field . Investigators try to using digital chest drainage management system into the field of postoperative care and to see whether it could help patients to recovery from surgery as soon as possible. According to investigators's clinical data collecting , investigators will establish a new postoperative care guideline for those patients who receive thoracic surgery

Detailed Description
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Drainage of the space between the ribs and lungs has been practiced since the time of Hippocrates. Thus far, the function of chest tubes, specifically to drain fluid or air from the pleural space, has virtually remained unchanged for more than 3000 years. The use of chest drainage tubes after thoracic surgery is crucial to evacuate air leakage and/or pleural effusion; however, delayed tube removal may exacerbate pain, delay recovery of lung function and prolong hospitalization. Recently, Thopaz digitally monitored thoracic drainage system (Medela Healthcare, Baar, Switzerland)has been designed to provide objective measurements of air leakage and pleural pressure. With this system, air leakage and pleural pressure can be accurately measured in mL/min and mm H2O, respectively. The rate of air leakage can be seen on a display in real time. Digital surveillance for air leakage is reported to reduce interobserver disagreement in decision making in the management of patients with chest tubes, which might help caregiver a more solid evidence of strategies of postoperative chest drainage care.

Official Title
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Optimization of Chest Tube Drainage Management to Shorten Postoperative Hospital Stay and Increase Satisfaction of Patients After Video-Assisted Thoracic Surgery

Conditions
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Lung Diseases, Age >18 Years-old, Patient Who Received Thoracoscope Surgery

Intervention / Treatment
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* Device: Digital chest drainage system
* Device: Not use Digital chest drainage system


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Volunteer to join the study after thoroughly explanations Patient who received thoracoscope surgery for lung lesion Exclusion Criteria: Not willing to join the study after thoroughly explanations Patients who have not received thoracoscope surgery for lung lesion

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: digital chest drainage system
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experiment groups<br>Post chest operative use Digital chest drainage system until Patient's discharge day | Device: Digital chest drainage system<br>* patients who received Digital chest drainage system<br>|
| Active Comparator: Control groups<br>Post chest operative use traditional drainage system until Patient's discharge day Not use Digital chest drainage system | Device: Not use Digital chest drainage system<br>* patients who not received Digital chest drainage system( traditional drainage system)<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Air leak graph of digital drainage system | Compare Digital chest drainage system with traditional drainage system | Follow patient 's condition in OPD post surgery in two years | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Days of hospital stay after surgery | Compare Digital chest drainage system with traditional drainage system | Follow patient 's condition in OPD post surgery in two years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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digital chest tube system, shorten hospital stay