Strategy for Prompt and Effective Thoracentesis in the Emergency Department
NCT ID: NCT06180603
Last Updated: 2024-12-05
Study Results
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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RECRUITING
NA
188 participants
INTERVENTIONAL
2024-01-15
2025-12-31
Brief Summary
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Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Control group
Standard of care thoracentesis in the radiology department ( passively drainage using gravity)
Gravity fluid drainage in the radiology department
Patients will be referred to the radiology department. Thoracentesis will be performed according to local guidelines.
Intervention group
Thoracentesis in the emergency department (manual fluid drainage using a syringe connected to a three-way stopcock)
Manual drainage in the emergency department
Thoracentesis will be performed according to current guidelines in the emergency department. Fluid will manually be drained using a syringe connected to a three-way stopcock. Thoracentesis will be stopped early if:
Interventions
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Gravity fluid drainage in the radiology department
Patients will be referred to the radiology department. Thoracentesis will be performed according to local guidelines.
Manual drainage in the emergency department
Thoracentesis will be performed according to current guidelines in the emergency department. Fluid will manually be drained using a syringe connected to a three-way stopcock. Thoracentesis will be stopped early if:
Eligibility Criteria
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Inclusion Criteria
* Pleural effusion detected by any imaging modality (e.g., bedside ultrasound, chest x-ray, computed tomography)
* Clinically justified need for thoracentesis ( symptomatic relief and/or define the etiology of the effusion
* Without contraindication for thoracentesis in the emergency department (e.g., anticoagulant treatment)
Exclusion Criteria
* Not able to give consent
* Previous pleurodesis
* Effusion does not appear free-flowing due to septations or loculations / suspected empyema
* Prior enrollment in the trial
* If randomization is not possible because decision to insert a pigtail catheter is made in the radiology department
18 Years
ALL
No
Sponsors
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Central Denmark Region
OTHER
University of Aarhus
OTHER
Responsible Party
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Principal Investigators
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Sandra T Langsted
Role: PRINCIPAL_INVESTIGATOR
Aarhus University Hospital
Locations
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Aarhus University Hospital
Aarhus, Central Jutland, Denmark
Gødstrup Regional Hospital
Gødstrup, Central Jutland, Denmark
Horsens Regional Hospital
Horsens, Central Jutland, Denmark
Randers Regional Hospital
Randers, Central Jutland, Denmark
Aalborg University Hospital
Aalborg, North Denmark, Denmark
Esbjerg sygehus
Esbjerg, South Region Denmark, Denmark
Countries
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Central Contacts
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Facility Contacts
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Nikolaj Raaber, MD, PhD
Role: primary
Larshan Perinpam, MD
Role: primary
Malene Christophersen, MD
Role: primary
Sandra T Langsted, MD
Role: primary
Anne Lund Krarup
Role: primary
Peter Biesenbach, MD,PhD
Role: primary
Other Identifiers
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AU307272
Identifier Type: -
Identifier Source: org_study_id