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Randomised trial comparing the use of suction with underwater seal versus only an underwater seal applied to chest drains following lung resection
ISRCTN ISRCTN20243318
ClinicalTrials.gov identifier
Public title Randomised trial comparing the use of suction with underwater seal versus only an underwater seal applied to chest drains following lung resection
Scientific title
Acronym N/A
Serial number at source N0013145914
Study hypothesis Is there a difference between the two groups with respect to the three primary outcomes?
Lay summary
Ethics approval Not provided at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Surgery: Lobectomy
Participants - inclusion criteria Cases eligible to be included in the trial: all lobectomies, all wedges, all lung biopsies, all operations of pneumothorax.
Participants - exclusion criteria Lung volume reduction surgery and pneumonectomies.
Anticipated start date 01/06/2002
Anticipated end date 01/06/2003
Status of trial Completed
Patient information material
Target number of participants 300
Interventions Chest 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.
Primary outcome measure(s) 1. Time to last bubble (air leak time)
2. Time to removal of drain
3. Time to discharge home
Secondary outcome measure(s) Not provided at time of registration
Sources of funding Guy's and St. Thomas' NHS Foundation Trust (UK), Own Account
Trial website
Publications 2005 results in http://www.ncbi.nlm.nih.gov/pubmed/15740944
Contact name Mr  Nelson  Alphonso
  Address Cardiothoracic Surgery
F06 East Wing
St Thomas' Hospital
Lambeth Palace Road
  City/town London
  Zip/Postcode SE17EH
  Country United Kingdom
  Tel +44 (0)20 7188 7188
  Email nelson.a@bigfoot.com
Sponsor Record Provided by the NHSTCT Register - 2006 Update - Department of Health
  Address The Department of Health, Richmond House, 79 Whitehall
  City/town London
  Zip/Postcode SW1A 2NL
  Country United Kingdom
  Tel +44 (0)20 7307 2622
  Email dhmail@doh.gsi.org.uk
  Sponsor website: http://www.dh.gov.uk/Home/fs/en
Date applied 29/09/2006
Last edited 15/02/2010
Date ISRCTN assigned 29/09/2006
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