Randomised trial comparing the use of suction with underwater seal versus only an underwater seal applied to chest drains following lung resection

ISRCTN ISRCTN20243318
DOI https://doi.org/10.1186/ISRCTN20243318
Protocol serial number N0013145914
Sponsor Record Provided by the NHSTCT Register - 2006 Update - Department of Health
Funder Guy's and St. Thomas' NHS Foundation Trust (UK), Own Account
Submission date
29/09/2006
Registration date
29/09/2006
Last edited
15/02/2010
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr Nelson Alphonso
Scientific

Cardiothoracic Surgery
F06 East Wing
St Thomas' Hospital
Lambeth Palace Road
London
SE17EH
United Kingdom

Phone +44 (0)20 7188 7188
Email nelson.a@bigfoot.com

Study information

Primary study designInterventional
Study designRandomised controlled trial
Secondary study designRandomised controlled trial
Scientific title
Study objectivesIs there a difference between the two groups with respect to the three primary outcomes?
Ethics approval(s)Not provided at time of registration
Health condition(s) or problem(s) studiedSurgery: Lobectomy
InterventionChest drains connected to an underwater seal are routinely left in the chest cavity (pleural space) following lung resections. They provide a one way escape route for any air that might leak from the surface of the lung and for any fluid that might collect in the chest cavity. This helps to maintain a negative pressure in the pleural cavity and facilitates lung expansion. We propose to compare the duration of air leak following lung resection between two groups of prospectively randomised patients one of which will have suction applied to the underwater seal. We will record the time to the last air leak and then determine any statistically significant difference (if any) between the two groups.

Randomisation will be into two groups: 1. chest drain connected to water seal only 2. chest drain connected to water seal and wall suction applied to the water seal at 3 kPa. Suction started in the recovery room immediately after the operation.
Intervention typeProcedure/Surgery
Primary outcome measure(s)

1. Time to last bubble (air leak time)
2. Time to removal of drain
3. Time to discharge home

Key secondary outcome measure(s)

Not provided at time of registration

Completion date01/06/2003

Eligibility

Participant type(s)Patient
Age groupAdult
SexNot Specified
Target sample size at registration300
Key inclusion criteriaCases eligible to be included in the trial: all lobectomies, all wedges, all lung biopsies, all operations of pneumothorax.
Key exclusion criteriaLung volume reduction surgery and pneumonectomies.
Date of first enrolment01/06/2002
Date of final enrolment01/06/2003

Locations

Countries of recruitment

  • United Kingdom
  • England

Study participating centre

Cardiothoracic Surgery
London
SE17EH
United Kingdom

Results and Publications

Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/03/2005 Yes No