Using ultrasound to determine the position of the gap between ribs during surgery

ISRCTN ISRCTN10722758
DOI https://doi.org/10.1186/ISRCTN10722758
ClinicalTrials.gov (NCT) Nil known
Clinical Trials Information System (CTIS) Nil known
Protocol serial number 2100043
Sponsor Henan Provincial People's Hospital
Funder Henan Provincial People's Hospital
Submission date
12/03/2019
Registration date
06/04/2019
Last edited
26/05/2020
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

Background and study aims
Incorrect intercostal space positioning can cause inconvenience to surgeons, increasing surgery time and even increasing risk. The accuracy of the surgeon's manual positioning depends on the doctor's rich clinical experience and is also influenced by factors such as the patient's gender and body mass index. Determining the intercostal gap by ultrasound guidance is more intuitive. The focus of this double-blind randomized study was to assess the temporal accuracy of ultrasound in the positioning of the intercostal space and compare it to manual positioning.

Who can participate?
Anesthesiologists and surgeons.

What does the study involve?
The temporal accuracy of ultrasound in the positioning of the intercostal space and compare it to manual positioning.

What are the possible benefits and risks of participating?
There are no benefits or risks of participating.

Where is the study run from?
Henan Provincial People's Hospital.

When is the study starting and how long is it expected to run for?
December 2018 to October 2019.

Who is funding the study?
Wei Zhang, who works at Henan Provincial People's Hospital.

Who is the main contact?
Chenxi Li
l15713895229@163.com

Contact information

Mrs Chenxi Li
Scientific

No.7
Weiwu Road
Jinshui District
Zhengzhou City
Henan Province
Zhengzhou
450000
China

ORCiD logoORCID ID 0000-0001-8107-8931
Phone 0371-65964376
Email l15713895229@163.com

Study information

Primary study designObservational
Study designObservational
Secondary study designN/A
Study type Participant information sheet
Scientific titleThe accuracy and efficiency of positioning of the intercostal space under ultrasound guidance compared with manual positioning: an observational study
Study objectivesCompared with manual positioning, the ultrasound-guided rib gap is more accurate and faster.
Ethics approval(s)Not provided at time of registration.
Health condition(s) or problem(s) studiedLocating the intercostal space during surgery
InterventionThe anesthesiologist and the surgeon participated in the experiment. The surgeon uses the technique to locate the intercostal space and the anesthesiologist uses ultrasound to locate the intercostal space and record the time. After the operation started, after the thoracoscope entered the chest cavity, it is judged whether the positioning of the rib gap was correct by direct vision. There is no follow-up.
Intervention typeOther
Primary outcome measure(s)

The accuracy of manual positioning and ultrasonic positioning of the rib gap is measured using the number of people positioned correctly divided by the total number of people.

Key secondary outcome measure(s)

Total time of manual positioning and ultrasonic positioning of the intercostal space.

Completion date01/10/2019

Eligibility

Participant type(s)Patient
Age groupAll
Lower age limit18 Years
SexAll
Target sample size at registration70
Key inclusion criteria1. Undergoing thoracoscopic lung surgery
2. Aged 18 years or older
Key exclusion criteria1. Undergoing thoracoscopic single-hole operation
2. Subcutaneous emphysema
3. Rib fractures
Date of first enrolment01/06/2019
Date of final enrolment01/10/2019

Locations

Countries of recruitment

  • China

Study participating centre

Henan Provincial People's Hospital
450000
China

Results and Publications

Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryOther
IPD sharing planThe datasets generated and/or analysed during the current study during this study will be included in the subsequent results publication.

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 23/05/2020 26/05/2020 Yes No
Participant information sheet Participant information sheet 11/11/2025 11/11/2025 No Yes
Study website Study website 11/11/2025 11/11/2025 No Yes

Editorial Notes

26/05/2020: Publication reference added.
15/04/2019: The recruitment start date was changed from 01/12/2018 to 01/06/2019.
12/04/2019: Internal review.
05/04/2019: Trial's existence confirmed by the Henan Science and Technology Project.