Clinical Trial: Prospective Evaluation of Needle Exsufflation for Pneumothorax

Study Status: Recruiting
Recruit Status: Recruiting
Study Type: Observational

Official Title: Impact of Pneumothorax Duration Before Treatment on the Success of Needle Exsufflation

Brief Summary: Monocentric observational study of needle exsufflation for pneumothorax in the ICU.

Detailed Summary: The main objective of this prospective observational non interventional study is to investigate a possible relationship between prior duration of pneumothorax (defined as the duration from first occurence of chest pain reported by patient to exsufflation) and the success of exsufflation procedure (defined by the absence of a chest tube insertion in the following 24h).
Sponsor: Hôpital Louis Mourier

Current Primary Outcome:

• Number of patients with early success of needle exsufflation [ Time Frame: 24 hrs ]
  success of needle exsufflation is defined as the absence of chest tube insertion requirement within 24hrs following needle exsufflation
• Number of patients with early success of needle exsufflation with duration of symptoms prior to exsufflation greater than 48 hrs [ Time Frame: 24 hrs ]
  success of needle exsufflation is defined as the absence of chest tube insertion requirement within 24hrs following needle exsufflation; duration of symptoms prior to exsufflation is the time (in hrs) elapsed between first chest pain reported by the patient and needle exsufflation

Original Primary Outcome: Same as current

Current Secondary Outcome:

• Length of ICU stay [ Time Frame: 8 days ]
  participants will be followed for the duration of ICU stay, from ICU admission to ICU discharge, an expected average of 8 days
• Length of hospital stay [ Time Frame: 15 days ]
  participants will be followed for the duration of hospital stay, from hospital admission to hospital discharge, an expected average of 15 days
• Number of patients requiring early surgical pleurodesis because of persistent pneumothorax [ Time Frame: 8 days ]
  Patients will be monitored for eventual need for surgical pleurodesis during their ICU stay because of persistent or worsening pneumothorax
• Number of patients with late exsufflation failure [ Time Frame: 8 days ]
  late exsufflation failure is defined as patients requiring chest tube insertion at least 24 hrs after needle exsufflation because of persistent or worsening of pneumothorax despite initial early success

Original Secondary Outcome: Same as current

Information By: Hôpital Louis Mourier

Dates:
Date Received: August 17, 2015
Date Started: January 2012
Date Completion:
Last Updated: February 25, 2016
Last Verified: February 2016