Median Sternotomy in Penetrating Cardiac Trauma

NCT ID: NCT04917198

Last Updated: 2021-06-08

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 100 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-12-21
• Study Completion Date: 2022-10-01

Brief Summary

The investigators aim to assess role of median sternotomy in penetrating cardiac trauma regarding morbidity and mortality of the patients.

Detailed Description

Cardiac trauma is a leading cause of death in the USA and occurs mostly due to motor vehicle accidents. Cardiac trauma may be blunt or as a penetrating chest injuries, and both can lead to aortic injuries. The Right Ventricle followed by the Left Ventricle was the most common site of injury.

Timely diagnosis and early management are the key to improve mortality. Mortality related to cardiac trauma remains high despite improvement in diagnosis and management.

Assessment of suspected cardiac injuries in a trauma setting is a challenging and time-critical matter, with clinical and imaging findings having complementary roles in the formation of an accurate diagnosis. Cardiac computed tomography and cardiac ultrasound are the two most important diagnostic modalities.

Pericardial tamponade and haemothorax were common intra-operative findings. Patients having penetrating cardiac injury presenting with detectable signs of life on arrival to the hospital can be rescued by early surgical intervention.

Penetrating cardiac injuries are high-risk, high-mortality injuries considering the outcomes. Therefore, it is important to choose the appropriate incision. In general clinical settings, thoracotomy and median sternotomy are choices of incisions to explore the injury.

It is really important to transfer these patients to the nearest facility in time, make sure they get immediate diagnosis and proper resuscitation until they are ready to be taken into the operating room for exploration.

Conditions

Trauma Chest

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

median sternotomy

median sternotomy in penetrating cardiac trauma and hemodynamically unstable patients, does it affect morbidity and mortality.

Group Type: EXPERIMENTAL

median sternotomy

Intervention Type: PROCEDURE

median sternotomy

Interventions

median sternotomy

median sternotomy

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

Penetrating traumatic cardiac patients. B.age:patients aged from15 to 60 years old.

Exclusion Criteria

• Patient who arrest immediately when arrived trauma unit.
• patients with polytrauma
• patients with chronic medical disease as asthma or ischemic herat disease

• Minimum Eligible Age: 15 Years
• Maximum Eligible Age: 60 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Assiut University

OTHER

Sponsor Role: lead

Responsible Party

Ahmed Ibrahim Gadallah

Median sternotomy in penetrating cardiac trauma , does it make a difference?

Responsibility Role: PRINCIPAL_INVESTIGATOR

Central Contacts

Ahmed Gadallah

Role: CONTACT

ahmedgadallah629@gmail.com

+201067172284

Mohamed Mahmoud

Role: CONTACT

mohamedmahmoud@aun.edu.org

+201008332462

References

Gosavi S, Tyroch AH, Mukherjee D. Cardiac Trauma. Angiology. 2016 Nov;67(10):896-901. doi: 10.1177/0003319715627954. Epub 2016 Jul 11.

Reference Type: BACKGROUND

PMID: 26802100 (View on PubMed)

Leite L, Goncalves L, Nuno Vieira D. Cardiac injuries caused by trauma: Review and case reports. J Forensic Leg Med. 2017 Nov;52:30-34. doi: 10.1016/j.jflm.2017.08.013. Epub 2017 Aug 24.

Reference Type: BACKGROUND

PMID: 28850860 (View on PubMed)

Rahim Khan HA, Gilani JA, Pervez MB, Hashmi S, Hasan S. Penetrating cardiac trauma: A retrospective case series from Karachi. J Pak Med Assoc. 2018 Aug;68(8):1285-1287.

Reference Type: BACKGROUND

PMID: 30108408 (View on PubMed)

Other Identifiers

Median sternotomy

Identifier Type: -

Identifier Source: org_study_id