A Novel Technique to Remove Iatrogenic Pulmonary Parenchymal Chest Tube (PPcT): A Retrospective Analysis From a Tertiary Care Thoracic Surgery Centre
PPcT
PPcT
Sponsor study identifier
observational
163
1 country
1
Study Start
May 1, 2024
Actual (reported)Primary Completion
April 30, 2025
Actual (reported)Study Completion
July 31, 2025
Actual (reported)Iatrogenic Pulmonary Parenchymal chest Tube (PPcT) placement is a recognized but underreported complication of tube thoracostomy, described both in the subcontinent and worldwide. This complication occurs when the chest tube inadvertently traverses the pleural cavity and penetrates the lung parenchyma. Patients with underlying lung pathology are at increased risk of having iatrogenic pulmonary parenchymal chest tube. In this study we describe the safe and minimally invasive technique to remove the PPcT without the need of video assisted thoracic surgery (VATS) or thoracotomy.
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
July 31, 2025
Actual (reported)Click on a node to explore related trials.
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Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
May 1, 2024
Actual (reported)April 30, 2025
Actual (reported)July 31, 2025
Actual (reported)August 23, 2025
Actual (reported)August 29, 2025
Actual (reported)Hemodynamic Instability
Hemodynamic Instability after staged removal of chest tube is defined as pulse rate of greater than 120/min, systolic Blood pressure of less than 80 mm of Hg, respiratory rate of greater than 24/min, hemorrhage and persistent air leak in the chest tube. Participants were observed for these above mentioned changes after every staged retraction of chest tube and responses recorded. For the participants who develop hemodynamic instability, thoracotomy was performed and underlying cause for hemodynamic instability is addressed.
24 hours
Participants that have been diagnosed with Iatrogenic injury to lung in case of Pulmonary Parenchymal chest tube (PPcT)
Iatrogenic Pulmonary Parenchymal Chest Tube is removed as a staged procedure in which gradual retraction of 2cm of chest tube is done from lung parenchyma keeping an eye on the hemodynamic status of Patient.
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All patients diagnosed with PPcT after chest tube thoracostomy either admitted to the thoracic surgery ward, emergency department, outpatient department and referred to Thoracic surgery department during the study period will be included.
Services Institute of Medical Sciences(SIMS), Services Hospital.
Lahore, Punjab Province, Pakistan
Muhammad Shoaib Nabi, Clinical Professor
Services Institute of Medical Sciences (SIMS), Services Hospital, Lahore
163 participants (actual enrollment reported by the registry).
First Submitted
August 23, 2025
First Posted
August 29, 2025
Study Start
May 1, 2024
Actual (reported)The Effect of Real Time Analytics on Adverse Events Among Hospitalized Patients
Rationalisation of Polypharmacy by the Geriatric Consultation Team
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Primary Completion
April 30, 2025
Actual (reported)Study Completion
July 31, 2025
Actual (reported)Last Updated
August 29, 2025
Record last verified: 2025-08
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Source: ClinicalTrials.gov.
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