Suction versus water-seal chest tube management for traumatic hemothorax/hemopneumothorax
Official title: SUS-HPTX Trial: Suction vs Underwater Seal for HemoPneumoThoraX Trial
Run by Vanderbilt University Medical Center · NCT07551791 · Data updated 2026-11-12
This trial will try whether starting chest tubes on suction or keeping them on a water seal helps adults with traumatic hemothorax or hemopneumothorax get their tubes out sooner and recover faster.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 150 (estimated) |
| Sponsor | Vanderbilt University Medical Center Academic / other |
| Locations | 1 site (Nashville, Tennessee) |
| Status | Recruiting |
| Started | April 14, 2026 |
| Main results expected | October 2026 |
| Study ends | March 2027 |
| Registry record updated | June 2, 2026 |
| Trial ID | NCT07551791 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults admitted to the trauma service with hemothorax or hemopneumothorax who require chest tube placement and meet the enrollment criteria are the ideal candidates.
✕Probably not a fit
People who are under 18, pregnant, incarcerated, or had a chest tube placed before CT (and other excluded patients) would not be eligible and therefore would not directly benefit from participation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a single-center, randomized trial at a large trauma center comparing initial chest tube management with continuous negative-pressure suction versus water seal in adults with traumatic hemothorax or hemopneumothorax. Eligible patients are admitted to the trauma service and require tube thoracostomy; key exclusions include age under 18, pregnancy, incarceration, or chest tube placement prior to CT. Participants are randomized to one of the two standard-of-care drainage strategies and followed for chest tube duration, pleural-space complications, and hospital length of stay. The trial expands on prior work (the SEAL IT trial) by including patients with significant hemothorax who were previously excluded.
Why it matters
Potential benefit: If successful, this approach could shorten chest tube duration and reduce hospital time and complications for patients with traumatic hemothorax or hemopneumothorax.
How similar studies have gone: Previous studies have been mixed, but the predecessor SEAL IT trial found that initial water seal shortened chest tube duration for traumatic pneumothorax without more complications, though that trial excluded patients with significant hemothorax.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Admitted to trauma service * Patient has hemothorax or hemopneumothorax requiring chest tube Exclusion Criteria: * Less than 18 years old, pregnant, prisoner, chest tube placed prior to CT scan
Where it's running
-
Vanderbilt University Medical Center
Nashville, Tennessee, United States Recruiting
Study contacts
- Study coordinator: Kelsey Evans, MD
- Email: kelsey.evans@vumc.org
- Phone: 615-322-5000
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.