The level of suction on post-operative chest tubes after video-assisted thoracoscopic surgery (VATS) lobectomy for lung cancer has previously shown to affect duration of drainage. These results, however, are based on traditional drainage systems with water seal and need to be confirmed using digital drainage systems. Hypothesis: Suction of -2 cmH2O is equal to or superior compared with standard suction of -10 cmH2O when looking at chest tube duration and complications.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
230
Post-operative suction is set to -2 cmH2O (intervention).
Post-operative suction is set to -10 cmH2O (standard treatment).
Rigshospitalet
Copenhagen, Denmark
Chest tube duration through study completion, an average of 3 days.
Time from intraoperative chest tube placement to it's removal.
Time frame: Through study completion, an average of 3 days.
Time to removal criteria have been fulfilled up to 24 hours
Chest tubes can be removed when the patient has been mobilized and the air leakage has not superceeded 20 mL/min in 12 hours and fluid production has not superceded 500 mL in 24 hours.
Time frame: Duration from the post-operative chest tube has been placed, until it's potential removal.
Number of participants with prolonged air leak
Time frame: Through study completion, an average of 7 days
Number of participants requiring treatment for prolonged air leak.
Time frame: Through study completion, an average of 14 days
Number of participants requiring treatment for subcutaneous emphysema.
Time frame: Through study completion, an average of 14 days
Number of participants with pneumonia or empyema.
Time frame: Through study completion, an average of 21 days
Length of stay.
Time frame: Through study completion, an average of 3 days
Number of participants with other respiratory problems.
Time frame: Through study completion, an average of 30 days
Number of participants requiring readmission for thoracic surgical complications.
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Time frame: Through study completion, an average of 30 days