Clinical trial NCT06825299: Interprofessional Approach to Ultrasound Diagnosis and Intervention in Critical Care Patients With Pneumothorax and/or Hemothorax
Official title: Interprofessional Approach to Ultrasound Diagnosis and Intervention in Critical Care Patients With Pneumothorax and/or Hemothorax (Steering the Eagerness Towards Standardization of the Third Core Competency in ICU)
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Interprofessional Approach
Ultrasound
Intervention
Critical Care
Pneumothorax
Hemothorax
Lead sponsor: Tanta University
Sponsor class: OTHER
First posted: 2025-02-13
Enrollment: 50
Sex: ALL
Minimum age (years): 21
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: Investigate the efficacy of interprofessional team approach to ultrasound guided diagnosis and intervention (pigtail or chest tube insertion) in critical care patients with Pneumothorax and/or hemothorax.

Evaluate the safety of the procedure {Insertion- related complications. Assess the Duration of chest tube insertion

Detailed description: Pneumothorax is defined as the presence of air in the pleural cavity; it can be secondary to underlying pulmonary pathology or trauma. In trauma, about 40-50% of thoracic injuries develop pneumothorax. Traditionally, following the suggestion of the American College of Chest Physicians and the Advanced Trauma Life Support (ATLS), all traumatic pneumothoraxes must be treated with a pleural drainage that could be chest tube (CT) or pigtail catheter (PC).

Insertion of pleural drains is a common surgical procedure. Percutaneous pleural drainage is the third most performed procedure in the intensive care unit (ICU) after vascular catheterization and tracheal intubation.

Bedside-ultrasound is introducing the advantage of at-time diagnosis and evaluation of different parameters without the need for risky transport of critical patients outside ICU and also guiding safe and successful intervention without complications and good learning.

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Eligibility criteria: Inclusion Criteria:

* Age from 21 to 65 years
* Both sexes.
* Patients with pneumothorax or hemothorax indicated for chest tube or pig tail insertion according to British Thoracic Society (BTS) June 2022 guidelines for pleural procedures.

Exclusion Criteria:

* Absolute contraindication: patients in which the lung is completely adherent to the chest wall throughout the hemithorax.
* Relative contraindications: patients with risk of bleeding in patients:
* Taking anticoagulant medication.
* Patients with abnormal clotting profiles, coagulopathies, and platelet defects.

Primary outcomes:
measure: Efficacy of ultrasound diagnosis
timeFrame: Diagnosis 24 hours
Secondary outcomes:
measure: Efficacy of ultrasound in intervention
timeFrame: 10 days after intervention
measure: Monitoring team performance
timeFrame: 24 hours after intervention
measure: Duration of insertion
timeFrame: 30 minutes intervention
measure: Incidence of complications
timeFrame: 72 hours after intervention
Other outcomes:
Locations:
city: Tanta
country: Egypt
facility: Tanta University
state: ElGharbia
Study officials:
References: