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The Use Of A Supplemental Pleural Drain To Reduce Pleural Effusion After Coronary Artery Bypass Grafting: A Prospective Randomized Study

Purpose of trial:

Collection of data to determine if using an additional drain in the left chest cavity will reduce fluid collection in the space between the lung and the chest wall after heart surgery

Protocol Summary:

After having Coronary Artery Bypass Grafting you will have two chest tubes inserted in front of your chest above the umbilicus. These tubes drain fluid that is routinely collected after open heart surgery. Patients will be randomized to either get another drain or not. If randomized to get the drain, a #24 Fr round hubless drain will be inserted in to the left rib cage area between 2 ribs. Our hopes is that by inserting the addition tube we will reduce complications such as shortness of breath, hospital re-admissions, and reinsertion of chest tube. A Visual Analogue Scale to measure discomfort will be obtained on post-op day 1 and post-op day 3, there will also be a chest x-ray on post-op day 3 and at the 30 day post-op visit

Sponsoring Department: Surgery - Division of Cardiothoracic Surgery
Investigators: Stephen R. Hazelrigg, MD, Theresa M. Boley, RN, MSN, APN/FNP, Jacquelyn Quin, MD, Andrew Sherrick, MD, Carl Arentzen, MD, William Stevens, MD, Nichols Rathert, MS II
Number of other sites in trial: SIU School of Medicine; Memorial Medical Center, St. John's Hospital
Basic Eligibility Criteria: Participants must be having coronary artery bypass grafting with or without valve surgery. Must have an internal mammary artery grafting
Age: 18 years of age or older
Health status:
Number of visits required: A Visual Analogue Scale to measure discomfort will be obtained on post-op day 1 and post-op day 3, there will also be a chest x-ray on post-op day 3 and at the 30 day post-op visit
SCHIRS Protocol Number:  
Contact Person: Contact Person: Theresa Boley, RN, MSN, APN/FNP
Contact Phone: 217-545-5000
Contact Email: tboley@siumed.edu

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Updated February 19, 2008