๐ฌIn plain words
What the trial is, and whether it could suit you
The aim of the study is to evaluate postoperative pain in patients receiving a small-bore (16F) chest drain compared to those receiving the standard large-bore (24F) chest drain after minimally invasive pulmonary lobectomy and/or segmentectomy.
Sign in to get the eligibility rules as simple questions to take to your doctor.
๐ Eligibility rules (as published)
Inclusion Criteria:
* Informed Consent signed by the patient (all sex and gender)
* Patients' age from โฅ 18 to no age limit at time of study inclusion
* American Society of Anaesthesiologists (ASA) physical status classification I to IV
* Patients with resectable non-small cell lung cancer (NSCLC) deemed operable by minimally invasive surgical technique.
* Minimally invasive anatomical lung resections under general anaesthesia: lobectomy, lobectomy with wedge resection, lobectomy combined with segmentectomy, segmentectomy with wedge resection, bilobectomy
Exclusion Criteria:
* Previous thoracic surgery on the same side within 3 months
* Lung cancer complicated with pleural empyema
* Patients with chronic pain who receive opioids/gabapentin/pregabalin
* Patients who consume opiates/benzodiazepines
* Congestive heart failure NYHA Class III or IV
* Liver cirrhosis Child-Pugh Class B and C
* Renal insufficiency requiring dialysis and/or estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73 m2
* Patients with coagulopathy or bleeding disorders: von Willebrand disease, Hemophilia; Thrombocytopenia (\<50 G/l), requiring platelet transfusion
* Patients with neuralgia
* Chest pain (site of surgery) without taking painkillers, measured by VAS while coughing \> 10 mm
* Not consolidated rib fractures (in the last 3 months) on the side of surgical procedure
* Open anatomical lung resection, including pneumonectomy
* Insertion of 2 or more chest tubes
* Need for patient controlled intravenous anaesthesia or patient controlled epidural anaesthesia
* Patients intubated/sedated (not suitable due to difficulties to fill out the pain survey)
๐
What it tests
- 16 F chest tube
- 24 F chest tube
- Early removal
- Standard removal
University Hospital Basel
Basel, Switzerland
๐ค Taking part is your choice, and you can leave at any time. Only the trial team can confirm you are eligible โ always decide together with your own doctor.