RecruitingNot ApplicableNCT06180603

Strategy for Prompt and Effective Thoracentesis in the Emergency Department

Strategy for Prompt and Effective Thoracentesis in the Emergency Department: A Multicenter Randomized Clinical Trial

Sponsor

University of Aarhus

Enrollment

188 participants

Start Date

Jan 15, 2024

Study Type

INTERVENTIONAL

Conditions

Heart Failure Pleural Diseases Pleural Effusion

Summary

The SPEEDTAP-trial is a prospective, randomised, investigator-initiated, multicenter, clinical superior trial investigating two thoracentesis methods in four emergency departments (ED) in Central Denmark Region. Patients are randomised to either manual fluid removal in the ED or passively fluid drainage using gravity in the radiology department (standard of care). Primary outcome: time from clinical indication to complete drainage and 188 patients will be included. Key secondary outcomes include length of stay, ED admission to ED discharge and safety end-points.

Eligibility

Min Age: 18 Years

Plain Language Summary

Simplified for easier understanding

This study looks at ways to make thoracentesis — a procedure where a needle is used to drain fluid from around the lungs — faster and safer in the emergency department. Fluid buildup around the lungs (pleural effusion) can cause shortness of breath or other symptoms, and this study tests whether a specific streamlined approach is better. **You may be eligible if...** - You are 18 years or older and came to the emergency department - Imaging showed fluid around your lungs (pleural effusion) - Your doctor determined that draining the fluid is clinically needed - You do not have a reason why the procedure cannot be done **You may NOT be eligible if...** - You are under 18 years old - You have a condition that makes thoracentesis unsafe (e.g., a bleeding disorder, inability to cooperate) - The fluid cannot be safely drained based on imaging Talk to your doctor to see if this trial is right for you.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

PROCEDUREGravity fluid drainage in the radiology department

Patients will be referred to the radiology department. Thoracentesis will be performed according to local guidelines.

PROCEDUREManual 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: