Suction on Post-Operative Chest Tubes

NCT ID: NCT02911259

Last Updated: 2018-04-27

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

230 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-29

Study Completion Date

2017-11-14

Brief Summary

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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.

Detailed Description

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Conditions

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Non-small Cell Lung Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Caregivers

Study Groups

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Group 1

Post-operative suction is set to -2 cmH2O.

Group Type EXPERIMENTAL

Suction is set to -2 cmH2O

Intervention Type DEVICE

Post-operative suction is set to -2 cmH2O (intervention).

Group 2

Post-operative suction is set to -10 cmH2O (standard treatment).

Group Type ACTIVE_COMPARATOR

Suction is set to -10 cmH2O

Intervention Type DEVICE

Post-operative suction is set to -10 cmH2O (standard treatment).

Interventions

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Suction is set to -2 cmH2O

Post-operative suction is set to -2 cmH2O (intervention).

Intervention Type DEVICE

Suction is set to -10 cmH2O

Post-operative suction is set to -10 cmH2O (standard treatment).

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Speaks and understands Danish.
* Referred for planned VATS lobectomy for confirmed or suspected primary lung cancer.

Exclusion Criteria

* Cannot cooperate or unable to give consent.
* Chronic drain carrier.
* Planned open procedure.
* Planned resection of additional wedge, additional lobe or thoracic wall.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medela AG

INDUSTRY

Sponsor Role collaborator

Rigshospitalet, Denmark

OTHER

Sponsor Role lead

Responsible Party

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Bo Laksáfoss Holbek

Medical doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Bo L. Holbek, MD

Role: PRINCIPAL_INVESTIGATOR

Rigshospitalet, Denmark

Merete Christensen, MD

Role: STUDY_DIRECTOR

Rigshospitalet, Denmark

Jesper Ravn, MD

Role: STUDY_CHAIR

Rigshospitalet, Denmark

Locations

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Rigshospitalet

Copenhagen, , Denmark

Site Status

Countries

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Denmark

References

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Marshall MB, Deeb ME, Bleier JI, Kucharczuk JC, Friedberg JS, Kaiser LR, Shrager JB. Suction vs water seal after pulmonary resection: a randomized prospective study. Chest. 2002 Mar;121(3):831-5. doi: 10.1378/chest.121.3.831.

Reference Type BACKGROUND
PMID: 11888968 (View on PubMed)

Cerfolio RJ, Bryant AS. The management of chest tubes after pulmonary resection. Thorac Surg Clin. 2010 Aug;20(3):399-405. doi: 10.1016/j.thorsurg.2010.04.001.

Reference Type BACKGROUND
PMID: 20619231 (View on PubMed)

Brunelli A, Beretta E, Cassivi SD, Cerfolio RJ, Detterbeck F, Kiefer T, Miserocchi G, Shrager J, Singhal S, Van Raemdonck D, Varela G. Consensus definitions to promote an evidence-based approach to management of the pleural space. A collaborative proposal by ESTS, AATS, STS, and GTSC. Eur J Cardiothorac Surg. 2011 Aug;40(2):291-7. doi: 10.1016/j.ejcts.2011.05.020.

Reference Type BACKGROUND
PMID: 21757129 (View on PubMed)

Gottgens KW, Siebenga J, Belgers EH, van Huijstee PJ, Bollen EC. Early removal of the chest tube after complete video-assisted thoracoscopic lobectomies. Eur J Cardiothorac Surg. 2011 Apr;39(4):575-8. doi: 10.1016/j.ejcts.2010.08.002. Epub 2010 Sep 15.

Reference Type BACKGROUND
PMID: 20833554 (View on PubMed)

Cerfolio RJ, Varela G, Brunelli A. Digital and smart chest drainage systems to monitor air leaks: the birth of a new era? Thorac Surg Clin. 2010 Aug;20(3):413-20. doi: 10.1016/j.thorsurg.2010.03.007.

Reference Type BACKGROUND
PMID: 20619233 (View on PubMed)

Pompili C, Detterbeck F, Papagiannopoulos K, Sihoe A, Vachlas K, Maxfield MW, Lim HC, Brunelli A. Multicenter international randomized comparison of objective and subjective outcomes between electronic and traditional chest drainage systems. Ann Thorac Surg. 2014 Aug;98(2):490-6; discussion 496-7. doi: 10.1016/j.athoracsur.2014.03.043. Epub 2014 Jun 4.

Reference Type BACKGROUND
PMID: 24906602 (View on PubMed)

Holbek BL, Christensen M, Hansen HJ, Kehlet H, Petersen RH. The effects of low suction on digital drainage devices after lobectomy using video-assisted thoracoscopic surgery: a randomized controlled trialdagger. Eur J Cardiothorac Surg. 2019 Apr 1;55(4):673-681. doi: 10.1093/ejcts/ezy361.

Reference Type DERIVED
PMID: 30445572 (View on PubMed)

Other Identifiers

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H-15008900

Identifier Type: -

Identifier Source: org_study_id

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