Clinical trial NCT03791437: Optimization of Chest Tube Drainage Management
Official title: Optimization of Chest Tube Drainage Management to Shorten Postoperative Hospital Stay and Increase Satisfaction of Patients After Video-Assisted Thoracic Surgery
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Lung Diseases
Age >18 Years-old
Patient Who Received Thoracoscope Surgery
Keywords: digital chest tube system, shorten hospital stay
Lead sponsor: Chang Gung Memorial Hospital
Sponsor class: OTHER
First posted: 2019-01-02
Enrollment: 253
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: digital chest drainage system
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: 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

Primary outcomes:
measure: Air leak graph of digital drainage system
timeFrame: Follow patient 's condition in OPD post surgery in two years
Secondary outcomes:
measure: Days of hospital stay after surgery
timeFrame: Follow patient 's condition in OPD post surgery in two years
Other outcomes:
measure: Fluid graph of digital drainage system
timeFrame: Follow patient 's condition in OPD post surgery in two years
measure: Patient Daily Activity
timeFrame: Until patient discharge from our hospital
Locations:
city: Taoyuan
country: Taiwan
facility: Chang Gung Memorial Hospital
Study officials:
affiliation: Chang Gung Memorial Hospital
name: Ching-Feng Wu, MD
role: STUDY_DIRECTOR
References: