Negative Pleural Suction for Tube Thoracostomy in Patients With Chest Trauma

Universidad de Antioquia110 enrolled

Overview

The purpose of this study is to determine whether the use of negative pleural suction in tube thoracostomy is more effective than water seal alone for the treatment of pneumothorax and/or hemothorax in patients with chest trauma.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

110

Conditions

Hemothorax Pneumothorax Hemopneumothorax Chest Injury Trauma Blunt Chest Injury Trauma Chest Injury Penetrating Wound

Interventions

Negative Pleural Suction at -20 cm H2OOTHER

Water sealOTHER

Eligibility

Sex: ALLMin age: 15 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Pneumothorax after penetrating o blunt chest trauma * Hemothorax after penetrating o blunt chest trauma * Hemopneumothorax after penetrating o blunt chest trauma * Require tube thoracostomy Exclusion Criteria: * Invasive mechanical ventilation * Emergent Surgery (thoracoscopy, open thoracotomy) * Chronic pulmonary diseases (COPD, CRPD) * Severe traumatic brain injury * Glasgow coma scale upon arrival \<8/15

Locations (1)

Departamento de Cirugía, Universidad de Antioquia, San Vicente Fundación Hospital Universitario

Medellín, Antioquia, Colombia

Outcomes

Primary Outcomes

Lenght of Hospital stay

Time frame: 30 days

Secondary Outcomes

Incidence of persistent bronchopleural fistulae

Time frame: 30 days

Incidence of coagulated Hemothorax

Time frame: 30 days

Incidence of empyema

Time frame: 30 days

Incidence of recurrent pneumothorax

Time frame: 30 days

Number of patients necessitating surgical interventions (includes new thoracostomy, thoracoscopy and open thoracotomy)

Time frame: 30 days

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.