Clinical trial NCT05545566: Evaluation of Thoracic Ultrasound in Monitoring Pleural Drainage in Postoperative Thoracic Surgery
Official title: Evaluation of Thoracic Ultrasound in Monitoring Pleural Drainage in Postoperative Thoracic Surgery
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Thoracic Ultrasound
Pleural Drain Removal
Keywords: postoperative thoracic surgery
discharge decision
thoracic ultrasound
pleural drain removal
chest X-ray
thoracic surgery monitoring
Lead sponsor: University Hospital, Limoges
Sponsor class: OTHER
First posted: 2022-09-19
Enrollment: 60
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: DIAGNOSTIC

Brief summary: The investigator would like to conduct a study in patients undergoing thoracic surgery to evaluate the effectiveness of thoracic ultrasound in the decision to discharge the patient after pleural drain removal.

Detailed description: Thoracic drainage is a common and almost systematic practice after thoracic surgery requiring daily management and monitoring until and after its removal.

It allows, after opening the pleura, the evacuation of liquid and/or air retained in the pleural cavity.

The overall monitoring of the patient after thoracic surgery is based on clinical vigilance combined with thoracic imaging, in particular the chest X-ray which remains the Gold Standard (reference examination).

The removal of the drain is decided according to the quantity and appearance of the evacuated fluid, the persistence of air leaks, etc... A few hours after the removal of the drain, it is routine to perform a chest X-ray before authorizing a possible discharge from the department.

This practice does not correspond to an established scientific protocol but is systematically performed in our department before discharge.

Several studies have defended the place of ultrasound in thoracic imaging and its contribution to the detection of postoperative and intensive care complications.

Unlike radiography, this technique is non-irradiating, less expensive and more readily available. It allows the detection of pneumothorax, pleural effusions and other complications detectable on X-ray.

To our knowledge, the contribution of thoracic ultrasound has not been studied in the decision to authorize the discharge of the patient after removal of the thoracic drain.

Eligibility criteria: Inclusion Criteria:

Patients undergoing thoracic surgery (lung resection, pleural symphysis, biopsy or resection of a mediastinal tumor or ganglion, pleural decortication/decalcification) admitted immediately after surgery in the thoracic surgery department (standard care or continuous care) of the University Hospital of Limoges.

Exclusion Criteria:

* Admission to the intensive care unit after thoracic surgery.
* Pneumonectomy
* Chest wall surgery
* Patients \<18 years old
* Not affiliated to social security
* Under guardianship or curatorship
* Pregnant women
* Not knowing the French language

Primary outcomes:
measure: Theoretical patient discharge
timeFrame: At the study completion, an average of 10 days
Secondary outcomes:
measure: Pain du to examination
timeFrame: Day 0, Day 1 and At the study completion, an average of 10 days
measure: Subcutaneous emphysema
timeFrame: Day 0, Day 1 and At the study completion, an average of 10 days
measure: Pneumothorax
timeFrame: Day 0, Day 1 and At the study completion, an average of 10 days
measure: Pleural effusion
timeFrame: Day 0, Day 1 and At the study completion, an average of 10 days
measure: Pulmonary Condensation
timeFrame: Day 0, Day 1 and At the study completion, an average of 10 days
Other outcomes:
Locations:
city: Limoges
country: France
facility: Limoges Univesity Hospital
Study officials:
References: