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Traumatic Hemothorax Drainage and Daily Lavage: Pilot Study

Description

This HTX treatment study evaluates the effects of chest tube size and the benefits of daily irrigations on acute HTX. 20 acutely injured but stable trauma patients requiring a chest tube for HTX will be enrolled. Patients will be assigned a 28Fr or 14 Fr chest tube with serial lavage and drainage. The endpoints will be HTX volume (by CT scan), complications, additional interventions, hospital length of stay, chest tube duration, provider feedback, and patient-reported outcomes.

Conditions

Hemothorax; Traumatic
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Related Conditions:

Hemothorax; Traumatic

Study Overview

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Study Details

Study overview

This HTX treatment study evaluates the effects of chest tube size and the benefits of daily irrigations on acute HTX. 20 acutely injured but stable trauma patients requiring a chest tube for HTX will be enrolled. Patients will be assigned a 28Fr or 14 Fr chest tube with serial lavage and drainage. The endpoints will be HTX volume (by CT scan), complications, additional interventions, hospital length of stay, chest tube duration, provider feedback, and patient-reported outcomes.

Traumatic Hemothorax Treatment With 14-Fr Pigtail Catheters or Large Bore (~28Fr) Chest Tubes With Daily Irrigation: A Pilot Single-Arm Intervention Study

Traumatic Hemothorax Drainage and Daily Lavage: Pilot Study

Condition
Hemothorax; Traumatic
Intervention / Treatment

-

Contacts and Locations

Philadelphia

Penn Presbyterian Medical Center, Philadelphia, Pennsylvania, United States, 19104

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

For general information about clinical research, read Learn About Studies.

Eligibility Criteria

  • 1. Able to provide consent for the research study
  • 2. More than 15 years of age
  • 3. Presence of acute traumatic HTX or HTX-PTX diagnosed on chest CT scan within 24 hours of injury and clinical indication for drainage (hemothorax of moderate or large size greater then 300 mL)
  • 4. Hemodynamic stability (heart rate 120 beats per minute; systolic blood pressure 90 mmHg)
  • 5. Bilateral or unilateral hemothorax of greater than 300 mL HTX by Mergo Formula from chest CT
  • 6. Able to complete the entire study including randomization, tube placement, lavages and final CT Scan.
  • 1. Less than 15 years of Age
  • 2. Prisoner
  • 3. Pregnant due to the risk of CT scans
  • 4. HTX or HTX-PTX not requiring drainage or drainage performed prior to randomization/enrollment
  • 5. Patients undergoing operative intervention (i.e. thoracotomy) as initial management of hemothorax (6) Persistent hemodynamic instability after initial resuscitation and CT imaging

Ages Eligible for Study

15 Years to

Sexes Eligible for Study

ALL

Accepts Healthy Volunteers

No

Collaborators and Investigators

University of Pennsylvania,

Jeremy Cannon, MD, PRINCIPAL_INVESTIGATOR, University of Pennsylvania

Study Record Dates

2027-08-01