Chest Drain Regular Flushing in Complicated Parapneumonic Effusions and Empyemas
Part of paid clinical trials in Sterling Heights, Michigan.
- Sponsor
- Vanderbilt University Medical Center
- Study ID
- NCT06427538
- Status
- Recruiting
Conditions
- Empyema, Pleural
- Pleural Infection
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Saline Flush — OTHERsterile saline 20 mL flushed into their catheter by trained nurses or study team members every 6 ± 2 hours
Study Details
Infections of the pleural space are common, and patients require antibiotics and chest drain placement to evacuate the chest from the infected fluid. Chest drains can get blocked by the drainage fluid and material. For this reason, it is thought that flushing the chest drain with saline solution, can help maintain the patency of the tube. This proposed study will evaluate the impact of regular chest drain flushing on the length of time to chest tube removal and total hospitalization as well as improvement in chest imaging and the need for additional interventions on the infected space.
Key Dates
- Start date
- Jun 21, 2024
- Status verified
- Feb 2026
- Primary completion
- Dec 30, 2026
- Completion
- Dec 30, 2026
Study Design
- Enrollment
- 96 participants (estimated)
- Allocation
- RANDOMIZED
- Intervention model
- SEQUENTIAL
- Primary purpose
- TREATMENT
Arms
- Experimental: Saline Intervention ArmPatient will receive 20 mL sterile saline flushes into their catheter by study team members every 6 ± 2 hours. If patients are receiving intrapleural tissue plasminogen activator and deoxyribonuclease therapy, each treatment will be considered one flush.
- No Intervention: No Intervention ArmPatient will receive a saline flush as needed, to restore patency of a chest tube considered blocked. No routine flushes will be administered.
Primary Outcome Measure
Time to chest tube removal [ Time Frame: up to 3 months ]
Central Contacts
- Samira Shojaee, MD, MPH615-322-2386
- Jennifer Duke, MD615-322-2386
Locations (5)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| Henry Ford | Sterling Heights | Michigan | 48310 | |
| Creighton University | Omaha | Nebraska | 68124 | |
| Mount Sinai | New York | New York | 10029 | |
| Vanderbilt University Medical Center | Nashville | Tennessee | 37203 | - |
| Virginia Commonwealth University | Richmond | Virginia | 23298 |
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