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RecruitingNot ApplicableNCT04670523

Early Postoperative Day 0 Chest Tube Removal After Thoracoscopic Minor Surgeries

Early Postoperative Day 0 Chest Tube Removal After Thoracoscopic Minor Surgeries. A Randomized Controlled Clinical Trial.

Sponsor

Insel Gruppe AG, University Hospital Bern

Enrollment

304 participants

Start Date

Jan 6, 2023

Study Type

INTERVENTIONAL

Conditions

Lung Pathologies of Unclear Etiology

Summary

The safe conditions for early chest tube removal have been progressively questioned and redefined around reliable digital air flow criteria and extension of liquid threshold accepted. Nevertheless, in current practice, the chest tube remains in restricting early mobilization and optimal compliance with ERAS programme, during the first crucial 24 h after surgery. Thus, to go further, the investigators decide to assess in this study the safety of POD 0 chest tube removal after minor thoracic operations in patients in health condition tolerating operation and anesthesia.

Eligibility

Min Age: 18 YearsMax Age: 99 Years

Inclusion Criteria4

  • Thoracoscopic extra-anatomical lung resection (surgical lung biopsy)
  • Thoracoscopic pleural biopsy
  • Signed consent
  • Age of majority

Exclusion Criteria5

  • Anatomical resection
  • Empyema
  • Pleural effusion
  • Pleurodesis
  • Vulnerable persons (Pregnant women, Children and adolescents)
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Interventions

PROCEDUREEarly postoperative day 0 (POD 0) chest tube removal.

Chest tube removal is a standard bedside intervention after lung resections. Its time point is normally defined according a traditional standard airleak threshold. Traditionally, in our department this threshold will be respected not earlier than 1 day after the operation. The patients of the study group are getting their chest tube removed according to our current airleak protocol (Flow \<20 mL/ min on digital suction device) but already in the operating room after wound closure (POD 0). If airleak is persisting than chest tube removal will be performed according to the traditional protocol not earlier than on postoperative day 1 (POD 1).

PROCEDUREChest tube removal according to traditional standard protocol not earlier than on postoperative day 1 (POD 1).

Chest tube removal according to traditional standard protocol not earlier than on postoperative day 1 (POD 1).

Locations(1)

University Hospital of Bern, Inselspital

Bern, Switzerland

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NCT04670523