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A Prospective descriptive Pilot Trial to investigate tracheal reflux in the early post-operative period in patients undergoing thoracotomy for lung resection.
Source of recordUK Clinical Trials Gateway
ISRCTNISRCTN88216651
Date ISRCTN assigned30/09/2004
Local reference number(s)N0054128023
Public titleA Prospective descriptive Pilot Trial to investigate tracheal reflux in the early post-operative period in patients undergoing thoracotomy for lung resection.
Scientific title
AcronymN/A
Disease/condition/study domainSurgery: Thoracotomy
Study hypothesisA Randomised Controlled Trial to investigate tracheal reflux in the early postoperative period. Can acid reflux be reduced by the oral administration of a Proton Pump Inhibitor?
Design/methodologyRandomised controlled trial
Research ethics reviewNot provided at time of registration
Countries of trialUnited Kingdom
Participants - inclusion criteria50 patients undergoing Thoracotomy.
Patients who have thyroid goitre or pathology making thyrocricoid puncture difficult will be excluded. Patients with a history of gastro-oesophageal reflux disease (GORD), Hiatus hernia or currently taking proton pump inhibitor (PPI)/antacid will also be excluded.
Participants - exclusion criteriaNot provided at time of registration
Patient information material
Anticipated start date01/06/2003
Anticipated end date31/12/2003
Status of trialCompleted
Target number of participants50
InterventionsA Prospective Randomised Double Blind Controlled Trial to investigate tracheal reflux in the early post-operative period. Consenting patients who are presenting for Thoracotomy for Lung resection under the care of two Thoracic surgeons. Patients after completion of surgery but prior to reversal of general anaesthetic, will have a 1.5 mm antimony pH probe inserted percutaneously under brochoscopic control into the trachea via the cricothyroid membrane. The device will then record and store pH every 5 seconds for the first 48 hour post-operatively, The data will be analysed for number and duration of aspiration episodes.
Primary outcome measure(s)Study end points will be:
1. The number of episodes per hour as defined by a reversible decrease in pH to less than 6.5 and lasting at least 1 min
2. The fractional (%) time the pH is less than 6.5
3. The number of aspiration episodes lasting more than 5 min
Secondary outcome measure(s)Not provided at time of registration
Sources of fundingThe Cardiothoracic Centre Liverpool NHS Trust
Sponsor nameRecord Provided by the NHSTCT Register - 2004 Update - Department of Health (UK)
Sponsor detailsThe Department of Health, Richmond House, 79 Whitehall
London
United Kingdom
SW1A 2NL
Sponsor telephone+44 (0)20 7307 2622
Sponsor emaildhmail@doh.gsi.org.uk
Sponsor websitehttp://www.dh.gov.uk/Home/fs/en
Contact nameDr E McCarron
Contact detailsDepartment of Cardiac Surgery
The Cardiothoracic Centre
Liverpool NHS Trust
Thomas Drive
Liverpool
United Kingdom
L14 3PE
Contact telephone+44 (0)151 228 1616
Contact fax+44 (0)151 228 8573
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN88216651
Date last extracted from ISRCTN register17/04/2008
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