Reactor Thoracostomy
NCT03734471 · Status: UNKNOWN · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 54
Last updated 2018-11-08
Summary
Tube thoracostomy is commonly performed in the emergency department for patients suffering from traumatic hemo- or pneumo-thorax. The procedure involves the use of a scalpel incision at the skin followed by blunt dissection through tissue, penetration into the thoracic cavity, dilation of a tract for tube placement, exploration of the thoracic cavity with a gloved finger, and finally insertion of a sterile tube into the intrathoracic space. The procedure is considered extremely painful despite the routine provision of systemic analgesics and local anesthetics.
Cadaver and animal studies have demonstrated the use of the Reactor chest tube device, a squeeze-activated thoracostomy trochar with placement of a clear sheath for chest tube insertion, to decrease procedure time, incision size, and blood loss. Case series and observational reports suggest lower rates of procedural complication and failure as well as increased patient satisfaction due to pain reduction.
Conditions
- Pneumothorax
- Hemothorax
Interventions
- DEVICE
-
Reactor Device
The Reactor is a Class II FDA medical device to facilitate the insertion of chest tubes into the thoracic cavity.
- PROCEDURE
-
Tube thoracostomy
Traditional chest tube placement
Sponsors & Collaborators
-
Crozer-Keystone Health System
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-01-01
- Primary Completion
- 2019-07-01
- Completion
- 2019-11-01
- FDA Device
- Yes
More Related Trials
-
Application Study of 12G Pigtail Catheter Used for Post-operative Drainage After Thoracoscopic Surgery for Mediastinal Nodes
NCT03743389 ·Status: UNKNOWN ·Phase: NA
-
Emergency Small vs Large Tube Thoracostomy in Chest Trauma Patients.
NCT04863989 ·Status: UNKNOWN ·Phase: NA
-
Treatment of Acute, Unstable Chest Wall Injuries
NCT01367951 ·Status: UNKNOWN ·Phase: NA
-
Prospective Evaluation of 14F Thal Tube vs 28 French Chest Tube for Hemothorax and Use of Maximum Barrier Precautions
NCT03167723 ·Status: COMPLETED ·Phase: NA
-
Interventional Treatment of Refractory Pneumothorax by Bronchoscope
NCT02352012 ·Status: UNKNOWN ·Phase: NA
-
The Development and Experimental Application of a New Thoracostomy Trocar
NCT02543138 ·Status: COMPLETED ·Phase: NA
-
Multi-center:The Small (14F) Percutaneous Catheter vs. Large (28-40F) Open Chest Tube for Traumatic Hemothorax (P-CAT)
NCT03546764 ·Status: COMPLETED ·Phase: NA
-
Drainage of Traumatic Hemothorax and Pneumothorax: Small Bore Versus Large Bore Chest Drain
NCT02344524 ·Status: COMPLETED ·Phase: NA
-
Pleural Suction Additional to Thoracostomy Tube for Traumatic Hemothorax
NCT04525365 ·Status: SUSPENDED ·Phase: NA
-
VATS Evacuation Compared to Reinsertion of Thoracostomy Tube in Persistent Traumatic Haemothorax
NCT03501524 ·Status: COMPLETED ·Phase: NA
-
Pneumothorax Drainage With Vacuum Bottle
NCT03724721 ·Status: COMPLETED ·Phase: NA
-
Evaluation of the Feasibility, Safety, and Efficacy of Single-use Endobronchial Silicon Spigots for the Treatment of Refractory Pneumothorax
NCT06515015 ·Status: RECRUITING ·Phase: NA
-
Treatment of Adult Traumatic Rib Fractures With Percutaneous Cryoneurolysis
NCT05330611 ·Status: COMPLETED ·Phase: NA
-
Negative Pleural Suction for Tube Thoracostomy in Patients With Chest Trauma
NCT01864577 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Intercostal Neuralgia in Patients With Chest Tube Insertion After Traumatic Rib Fracture
NCT07308587 ·Status: RECRUITING
-
Thoracoscopic Exploration in Comparison to Exploratory Thoracotomy in Chest Trauma
NCT05991570 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
VATS Decortication Versus IR Guided Chest Tube Insertion With Fibrinolytics for the Management of Empyema
NCT03584113 ·Status: RECRUITING ·Phase: NA
-
Pneumothorax Safety of Pleural-Depth-Trimmed Hookwires for Lung Nodule Localization
NCT07300072 ·Status: COMPLETED
-
Improvement and Application of New Closed Drainage Device
NCT04143360 ·Status: UNKNOWN ·Phase: NA
-
Study Designed to Optimize the Treatment of Primary Pneumothorax
NCT02866305 ·Status: UNKNOWN ·Phase: EARLY_PHASE1
-
Computed Tomography (CT) Guided Lung Biopsy With Plug
NCT03526640 ·Status: UNKNOWN ·Phase: NA
-
Pleural Cryobiopsies During Semirigid Thoracoscopy: A New Technique
NCT01472172 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Occult Pneumothorax in Patients With Blunt or Penetrating Trauma
NCT04188938 ·Status: COMPLETED
-
Prospective Evaluation of Needle Exsufflation for Pneumothorax
NCT02528734 ·Status: COMPLETED
-
Thoracic Epidural Analgesia in Flail Chest
NCT03413059 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3