Buzdar technique for staged removal of chest tubes lodged in the lung

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

Chest tube insertion is common but can rarely injure lung tissue (pulmonary parenchymal chest tube, PPcT), causing bleeding, prolonged air leak, or infection. The Buzdar technique is a conservative, staged withdrawal method developed at the University of Health Sciences Lahore that gradually retracts the tube under clinical and imaging surveillance rather than proceeding immediately to thoracotomy or VATS. Eligible, hemodynamically stable adults with imaging-confirmed intraparenchymal tube placement will undergo stepwise removal with serial chest X-rays or CT and close monitoring for hemorrhage or air leak. Patients who deteriorate or meet exclusion criteria will be referred for immediate surgical management.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients ≥18 years with confirmed intraparenchymal chest tube placement on chest CT or X-ray.
* Hemodynamically stable patients suitable for conservative staged removal.
* Patients providing informed consent.

Exclusion Criteria:

* Patients requiring immediate thoracotomy due to massive bleeding or large bronchopleural fistula.
* Patients with uncorrectable coagulopathy or unstable cardiopulmonary status.
* Patients refusing participation or lost to follow-up.

Where it's running

• Services Hospital Lahore
  Lahore, Punjab Province, Pakistan Recruiting

Study contacts

• Study coordinator: Zeeshan Sarwar, MBBS
• Email: zeeshan.sarwar195@gmail.com
• Phone: +92 3214347410

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.