Virtual Reality: Distraction During Small Bore Intercostal Chest Drain Insertion
Recruiting now · Not applicable
Conditions studied: Pleural Effusion
In brief
Intercostal chest drain (ICC) insertion is a common procedure done worldwide to treat and diagnose pleural disease. It is used to evacuate fluid, blood, or air in the cavity from a myriad of causes namely pleural effusions of different etiologies, empyema, hemothorax, chylothorax and pneumothorax. It also functions as a route for antibiotics, pleurodesis and fibrinolytics. Hippocrates, whose practiced medicine 2,400 years ago, is often credited with being the first to insert a metal tube into the pleural region to drain fluid. It wasn't until the 19th century that a closed drainage system was properly documented in the literature, although open drainage remained to be the norm for quite some time. In the past, large-bore tubes (24-32 F) were recommended in nearly all circumstances and were inserted using a blunt dissection technique. However, during the past two decades, small-bore catheters have become increasingly popular. They were first used to drain abdominal collections and have now been adopted for use in draining the pleural cavity utilizing the needle and guide wire Seldinger procedure, typically with radiological guidance. In addition to that, Seldinger technique allow us to insert the catheter at lower intercostals spaces without injury to the diaphragm or abdominal organs, thereby ensuring patient safety.
Key facts
- Study ID
- NCT06247800
- Run by
- National University of Malaysia
- People needed
- 80
- Starts
- 2024-02-01
- Expected to finish
- 2026-12-25
- Last updated by the study team
- 2025-11-19
Who can join
Age: any. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- All participants undergoing ICC insertion
- Participants who could understand and give consent
You may not qualify if…
- Participants who are unable to understand or give consent
- Ventilated patients
- Participants who are not comfortable wearing VR device
- Participants who are unable to communicate (illiterate, had hearing impairment, mute, blind or had memory impairment)
- Participants with craniofacial deformity
- Participants who are on sedative medication
- Traumatic or post Motor Vehicular Accident patient Participants undergoing Indwelling pleural catheter insertion Participants with anxiety disorder
- Exclusion Criteria:
Where it is running
- National University of Malaysia — Kuala Lumpur, Kuala Lumpur, Malaysia (enrolling)
Full record on ClinicalTrials.gov
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