Strategy for Prompt and Effective Thoracentesis in the Emergency Department

Condition(s) studied

Investigational drug(s) / intervention(s)

Gravity fluid drainage in the radiology department: Patients will be referred to the radiology department. Thoracentesis will be performed according to local guidelines.

Manual drainage in the emergency department: Thoracentesis will be performed according to current guidelines in the emergency department. Fluid will manually be drained using a syringe connected to a three-way stopcock. Thoracentesis will be stopped early if:

Study summary

The SPEEDTAP-trial is a prospective, randomised, investigator-initiated, multicenter, clinical superior trial investigating two thoracentesis methods in four emergency departments (ED) in Central Denmark Region. Patients are randomised to either manual fluid removal in the ED or passively fluid drainage using gravity in the radiology department (standard of care). Primary outcome: time from clinical indication to complete drainage and 188 patients will be included. Key secondary outcomes include length of stay, ED admission to ED discharge and safety end-points.

Eligibility

Primary outcome measure(s)

• Time from identification of the clinical indication for thoracentesis to complete drainage — From date and time for randomization until the date and time removal of catheter, assessed up to 3 month
  Time from identification of the clinical indication for thoracentesis is defined as the time patient is randomized. The time of complete drainage is defined by removal of pigtail catheter

Trial sites (6)

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