At a glance
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Early Intervention for Complicated Parapneumonic Effusion: Randomized Controlled Trial for Fibrinolytic Therapy Versus VATs Decortication
In Brief
A clinical study evaluating VATS Decortication and Fibrinolytic Therapy for Parapneumonic Effusion and 2 related conditions. Completed, enrolled 10 participants across 1 site.
Detailed Summary
This study aims to standardize the treatment of pleural space (parapneumonic) infections by comparing the difference in outcomes between 2 methods of treatment: early VATS (Video Assisted Thorascopic Surgery) decortication versus fibrinolytic therapy. During treatment, the patient's coagulopathy status will also be evaluated.
Study Details
Timeline
Interventions
Surgical procedure to unroof all located collections of the pleural space through a chest wall incision
Instillation of DNAse and tPA together through patient's chest tube already in placed to break down complex fluid collection in the pleural space. DNAse and tPA are are administered together only i.e. are not mutually exclusive.