[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"chest-tube-removal\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:chest-tube-removal":26},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,7,0,[8,44,73,105,132,163,200],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":27,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":33,"lastUpdatePostDateStruct":34,"startDateStruct":37,"completionDateStruct":39,"leadSponsor":41,"locationsCount":4},"100638629","effect-of-warm-footbath-combined-with-relaxation-exercise-on-pain-and-anxiety-during-chest-tube-removal-after-cardiac-surgery-100638629",false,"NCT07585240","Effect of Warm Footbath Combined With Relaxation Exercise on Pain and Anxiety During Chest Tube Removal After Cardiac Surgery","Effect of Warm Foot Bath Combined With Relaxation Exercise on Pain and Anxiety During Chest Tube Removal After Cardiac Surgery: A Randomized Controlled Trial","Inclusion Criteria:\n\n* Aged 18 years and older\n* Followed up with at least one chest tube after elective cardiac surgery -Scheduled for chest tube removal\n* Conscious, with a Glasgow Coma Scale (GCS) score of 15\n* Hemodynamically stable (Mean Arterial Pressure \\[MAP\\] ≥ 65 mmHg, and Peripheral Oxygen Saturation \\[SpO₂\\] ≥ 92% on room air or with routine oxygen support)\n* No visual or auditory impairments\n* Able to speAk and understand Turkish\n* No clinically diagnosed neurological or psychiatric disease, and not using regular psychotropic medications\n\nExclusion Criteria:\n\n* Aged under 18 years\n* Presence of diabetic peripheral neuropathy, peripheral vascular disease, or conditions disrupting foot\u002Fskin integrity (conditions where a warm water foot bath is contraindicated)\n* Hemodynamically unstable (Mean Arterial Pressure \\[MAP\\] \\\u003C 65 mmHg)\n* Presence of severe cognitive impairment, psychotic disorder, or hallucinations\n* Administered any analgesic medication outside the current analgesia protocol within the last 24 hours\n* Glasgow Coma Scale (GCS) score below 15\n* Inability to speak Turkish or presence of any condition preventing communication","ALL","18 Years",{"count":19,"type":20},60,"ESTIMATED","INTERVENTIONAL",[23],"NA","Chest tube removal is a widely used surgical procedure, particularly in the post-cardiac surgery period, to maintain cardiopulmonary stability, provide mediastinal drainage, and prevent potential complications. It provides one-way drainage of air and\u002For fluid accumulated in the pleural space through closed drainage systems. Chest tube removal is often described by patients as a painful and frightening experience. Without adequate pain control, chest tube removal can cause severe pain and anxiety in patients, limiting their physical activity and negatively impacting coughing and deep breathing. Consequently, this can lead to inadequate expansion of the thoracic cavity and predisposition to respiratory tract infections.\n\nPain management is considered a fundamental component of nursing care. Effective pain management relies on comprehensive assessment, application of appropriate pharmacological and non-pharmacological interventions, and monitoring of patient response. Pharmacological agents commonly used during chest tube removal include local anesthetics, opioid analgesics, and anti-inflammatory drugs. However, pharmacological methods can have side effects such as vomiting, nausea, respiratory distress, and hypotension, which can reduce patient comfort. Therefore, given the frequent use and potential side effects of pharmacological methods, there is an increasing need for non-pharmacological methods that are safe, easy to apply, and have no side effects in pain and anxiety management. The literature reports that non-pharmacological interventions are effective in reducing pain felt during chest tube removal. Studies in the literature show that relaxation exercises, a non-pharmacological method, are cost-effective, easy to apply, and effective in reducing pain and anxiety levels. These exercises have been shown to provide physiological relaxation by supporting muscle activation and are effective in pain management in patients after surgical procedures. Another non-pharmacological method used to reduce postoperative pain and anxiety is warm foot baths. Warm foot baths are reported to increase peripheral temperature, causing vasodilation, supporting autonomic balance, and providing physiological relaxation. While studies evaluating the effects of warm foot baths on pain and anxiety in various clinical situations exist in the literature, no study examining its effect during chest tube removal has been found. This indicates a significant knowledge gap in the literature regarding the potential effects of warm foot baths during chest tube removal. Accordingly, this research was planned to determine the effects of relaxation exercises applied before chest tube removal and warm foot baths applied simultaneously with relaxation exercises on pain and anxiety levels in patients undergoing cardiac surgery. The research will be conducted using a two-arm, parallel-group, randomized comparative experimental design. Considering the effect sizes reported in the literature for similar interventions and accounting for both literature-based and repeated-measures calculations, a median effect size was assumed. Accordingly, the study targeted a sample size of 30 patients per group (total n=60). The relaxation group (R) and the warm water footbath group (WWF+R) will be assigned using a block-randomized design. The R group will receive guided breathing and progressive muscle relaxation exercises. The WBB+R group will receive guided breathing and progressive muscle relaxation exercises, along with a warm-water foot bath. The interventions will begin with a pre-application to familiarize patients with the procedures. In the second phase, patients will perform the procedures 15 minutes before the scheduled chest tube removal time. Data will be collected at four time points using the Visual Analog Scale and the State Anxiety Scale. Appropriate statistical methods will be used for data analysis. This research has the potential to be the first randomized comparative study examining the simultaneous effects of a warm-water foot bath and relaxation exercises during chest tube removal after cardiac surgery. The findings are expected to contribute a new, low-cost, non-invasive, and evidence-based intervention to post-surgical nursing care protocols. The research outcomes are expected to improve patient comfort and the quality of clinical care.",[26],"Chest Tube Removal",[28,29,30,31],"chest tube removal","warm foot bath","anxiety","pain","NOT_YET_RECRUITING","2026-05-09",{"date":35,"type":36},"2026-05-13","ACTUAL",{"date":38,"type":20},"2026-05-01",{"date":40,"type":20},"2027-05",{"name":42,"class":43},"Igdir University","OTHER",{"id":45,"slug":46,"hasResults":11,"nctId":47,"briefTitle":48,"officialTitle":49,"acronym":50,"eligibilityCriteria":51,"healthyVolunteers":11,"sex":16,"minAge":52,"maxAge":53,"enrollmentInfo":54,"targetDuration":4,"studyType":21,"phases":56,"briefSummary":57,"conditions":58,"keywords":60,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":64,"lastUpdatePostDateStruct":65,"startDateStruct":67,"completionDateStruct":69,"leadSponsor":71,"locationsCount":4},"100636376","the-effect-of-music-and-musical-mobile-interventions-on-pain-and-physiological-parameters-100636376","NCT07564882","The Effect of Music and Musical Mobile Interventions on Pain and Physiological Parameters","The Effect of Music and Musical Mobile Interventions on Pain and Physiological Parameters During Chest Tube Removal in Infants Undergoing Congenital Heart Surgery","Music Pain Inf","Inclusion Criteria:\n\n* Infants aged 2 to 12 months\n* Undergoing surgery due to congenital heart disease\n* Having a single chest tube\n* Not receiving mechanical ventilation support\n* Parent(s) voluntarily agree to participate in the study\n\nExclusion Criteria:\n\n* Receiving mechanical ventilation support\n* Administration of analgesics within 2 hours prior to chest tube removal\n* Presence of a neurodevelopmental disorder\n* Parent(s) do not consent to participate in the study","2 Months","12 Months",{"count":55,"type":20},54,[23],"Chest tube removal in infants undergoing surgery for congenital heart disease is an invasive procedure associated with significant pain and physiological stress responses. This randomized controlled trial evaluates the effects of music and musical mobile interventions on pain and physiological parameters during chest tube removal. A total of 54 infants aged 2-12 months are randomly assigned to music, musical mobile, or control groups. Pain is assessed using the FLACC scale, and physiological parameters (heart rate and oxygen saturation \\[SpO₂\\]) are monitored. Measurements are obtained at predefined time points: periprocedural (10 minutes before chest tube removal, immediately after removal, and 5 minutes post-removal). The findings aim to support evidence-based non-pharmacological pain management in pediatric intensive care settings.",[59,26],"Congenital Heart Disease (CHD)",[26,61,62,63],"Nursing","Congenital Heart Disease","Multisensory Distraction","2026-05-05",{"date":66,"type":36},"2026-05-08",{"date":68,"type":20},"2026-04-30",{"date":70,"type":20},"2027-06-30",{"name":72,"class":43},"Baskent University",{"id":74,"slug":75,"hasResults":11,"nctId":76,"briefTitle":77,"officialTitle":78,"acronym":4,"eligibilityCriteria":79,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":80,"targetDuration":4,"studyType":21,"phases":82,"briefSummary":83,"conditions":84,"keywords":88,"overallStatus":94,"whyStopped":4,"lastUpdateSubmitDate":95,"lastUpdatePostDateStruct":96,"startDateStruct":98,"completionDateStruct":100,"leadSponsor":102,"locationsCount":104},"100633576","effects-of-reflexology-and-cold-application-before-chest-tube-removal-in-cabg-patients-100633576","NCT07528482","Effects of Reflexology and Cold Application Before Chest Tube Removal in CABG Patients","Determining the Effects of Reflexology and Cold Application Before Chest Tube Removal on Pain, Anxiety, and Physiological Parameters in Patients Undergoing Coronary Artery Bypass Grafting: A Randomized Controlled Study","Inclusion Criteria:\n\n* Being 18 years of age or older\n* Not having undergone previous open heart surgery\n* Not having received analgesics within 4 hours prior to the procedure\n* Having a VAS pain score of 3 or higher\n* Voluntary participation in the study\n\nExclusion Criteria:\n\n* Being under 18 years of age\n* Using inotropic drugs\n* Having a history of chronic pain\n* Having a history of alcohol or drug use\n* Having a psychiatric illness\n* Having skin lesions, burns, or wounds on the feet that would prevent massage application",{"count":81,"type":20},108,[23],"This study aims to evaluate the effects of combined reflexology and cold application on pain, anxiety, and physiological parameters in patients undergoing chest tube removal (CTR) after coronary artery bypass grafting (CABG) surgery. Chest tube removal is an invasive procedure that often causes significant pain and anxiety, which can negatively impact the recovery process. In this randomized controlled trial, patients will be assigned to a combined intervention group (reflexology and cold application) or a control group. The study seeks to provide evidence-based recommendations for non-pharmacological nursing interventions to improve patient comfort and reduce complications during the post-operative period.",[85,86,26,87],"Pain, Acute Post-Operative","Anxiety","Coronary Artery Bypass",[89,90,91,92,93],"Reflexology","Cold Application","Chest Tube Removal Pain","Non-pharmacological Interventions","Nursing Care","RECRUITING","2026-04-10",{"date":97,"type":36},"2026-04-14",{"date":99,"type":36},"2025-12-15",{"date":101,"type":20},"2026-05-04",{"name":103,"class":43},"Ankara University",1,{"id":106,"slug":107,"hasResults":11,"nctId":108,"briefTitle":109,"officialTitle":110,"acronym":4,"eligibilityCriteria":111,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":112,"targetDuration":4,"studyType":21,"phases":113,"briefSummary":114,"conditions":115,"keywords":118,"overallStatus":94,"whyStopped":4,"lastUpdateSubmitDate":123,"lastUpdatePostDateStruct":124,"startDateStruct":126,"completionDateStruct":128,"leadSponsor":130,"locationsCount":104},"100628142","virtual-reality-forest-sounds-and-patient-outcomes-during-chest-tube-removal-100628142","NCT07457788","Virtual Reality Forest Sounds and Patient Outcomes During Chest Tube Removal","The Effect of Nature Sounds in a Virtual Reality Forest During Chest Tube Removal on Pain, Vital Signs, Comfort, and Patient Satisfaction","Inclusion Criteria:\n\n* Able to speak and understand Turkish\n* Willing to participate in the study\n* Aged 18 years or older\n* No auditory or visual impairments\n\nExclusion Criteria:\n\n* Patients with impaired orientation to time and place\n* Patients with migraine, vertigo, or dizziness\n* Illiterate patients",{"count":19,"type":20},[23],"The aim of this study is to investigate the effects of listening to nature sounds in a virtual reality forest on pain, vital signs, comfort, and patient satisfaction during chest tube removal. This study aims to determine whether there are significant differences in pain, comfort, patient satisfaction, and vital signs between the experimental and control groups during chest tube removal. \"In this study, a VR video featuring a relaxing forest environment with nature sounds will be used with a virtual reality headset. Patients will be exposed to both auditory and visual stimuli. It is anticipated that the findings of this randomized controlled experimental study will make a significant contribution to the literature and clinical",[116,117,26],"Chest Tube","Virtual Reality",[31,119,120,121,122],"chest tube","patient satisfaction","comfort","vital signs","2026-03-03",{"date":125,"type":36},"2026-03-09",{"date":127,"type":36},"2025-12-01",{"date":129,"type":20},"2026-06",{"name":131,"class":43},"Uskudar University",{"id":133,"slug":134,"hasResults":11,"nctId":135,"briefTitle":136,"officialTitle":137,"acronym":4,"eligibilityCriteria":138,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":139,"targetDuration":4,"studyType":21,"phases":141,"briefSummary":142,"conditions":143,"keywords":148,"overallStatus":32,"whyStopped":4,"lastUpdateSubmitDate":153,"lastUpdatePostDateStruct":154,"startDateStruct":156,"completionDateStruct":158,"leadSponsor":160,"locationsCount":104},"100617511","comparison-of-chest-tube-wound-closure-comparison-between-purse-string-method-and-plug-method-100617511","NCT07319572","Comparison of Chest Tube Wound Closure: Comparison Between Purse String Method and Plug Method.","Optimizing Chest Tube Removal: A Comparison of Purse-string Suture Closure and Plug Method.","Inclusion criteria :\n\n1. All patients \\>18 years of age\n2. Patients undergoing chest tube insertion for traumatic causes including Pneumothorax, hemothorax and hemopneumothorax.\n\nExclusion criteria:\n\n1. Previous ipsilateral thoracic surgery\n2. Patients with large wounds necessitating suture closure\n3. Patients with bleeding disorders",{"count":140,"type":20},246,[23],"This prospective, comparative clinical study evaluates two techniques of chest tube wound closure-purse-string suture and the simple suture\u002Fplug method-to determine differences in cosmetic outcomes, wound complications, and overall patient satisfaction following chest tube removal. The study aims to identify the closure technique that provides optimal wound healing with fewer postoperative complications.",[144,145,116,26,146,147],"Pneumothorax","Hemothorax","Purse String","Plug Method",[149,150,151,144,152],"Purse-string","Plug method","Chest tube","hemothorax","2025-12-19",{"date":155,"type":36},"2026-01-06",{"date":157,"type":20},"2026-01-01",{"date":159,"type":20},"2026-12-31",{"name":161,"class":162},"Pakistan Institute of Medical Sciences","OTHER_GOV",{"id":164,"slug":165,"hasResults":11,"nctId":166,"briefTitle":167,"officialTitle":168,"acronym":169,"eligibilityCriteria":170,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":171,"targetDuration":4,"studyType":173,"phases":4,"briefSummary":174,"conditions":175,"keywords":179,"overallStatus":94,"whyStopped":4,"lastUpdateSubmitDate":191,"lastUpdatePostDateStruct":192,"startDateStruct":194,"completionDateStruct":196,"leadSponsor":198,"locationsCount":104},"100594393","feasibility-study-of-novice-performed-lung-ultrasound-for-pneumothorax-detection-after-cardiac-surgery-100594393","NCT07018856","Feasibility Study of Novice-Performed Lung Ultrasound for Pneumothorax Detection After Cardiac Surgery","The CLEAR Vanguard Feasibility Study: Comparative Evaluation of Novice-Performed Lung Ultrasound Versus Chest X-Ray for Pneumothorax Detection Post-Chest Tube Removal in Cardiac Surgery Patients","CLEARVGRD","Inclusion Criteria:\n\n* Age 18 years or older\n* Undergoing cardiac surgery\n* Scheduled for chest and\u002For mediastinal chest tube removal in the cardiovascular intensive care unit (CVICU)\n\nExclusion Criteria:\n\n* Severe chronic lung disease that may impair lung ultrasound interpretation, including:\n* Subcutaneous emphysema\n* COPD or emphysema with FEV₁ \\\u003C 50% predicted\n* Interstitial lung disease with FEV₁ \\\u003C 75% predicted\n* Documented history of pneumothorax prior to chest tube removal requiring intervention\n* Mechanical ventilation at the time of eligibility screening\n* Inability to undergo lung ultrasound or chest X-ray (e.g., due to hemodynamic instability or positioning limitations)",{"count":172,"type":20},120,"OBSERVATIONAL","What is the purpose of this study? This study is being done to find out if medical trainees (such as residents and fellows) can learn to use lung ultrasound to detect a collapsed lung (pneumothorax) after heart surgery.\n\nWho is participating in the study? Adults who have recently had heart surgery and are having their chest tubes removed in the intensive care unit may be able to join.\n\nWhat will happen during the study? After chest tubes are removed, a trained medical trainee will use a small ultrasound device to check the lungs at the bedside. The patient will also have a chest X-ray, which is the usual test. The results from the ultrasound will be compared to the chest X-ray and reviewed by expert doctors.\n\nWhat is the goal of the study? The goal is to see if it is possible to train medical trainees to use lung ultrasound safely and accurately in real hospital settings. The results will help plan a larger study in the future.",[144,176,177,26,178],"Cardiac Surgery","Lung Ultrasound","Postoperative Complications (Cardiopulmonary)",[177,180,26,176,181,182,183,184,185,186,187,188,189,190],"Pneumothorax Detection","Point-of-Care Ultrasound","Postoperative Complication","Bedside Ultrasound","Novice Sonographer","Diagnostic Accuracy","Feasibility Study","Critical Care Ultrasound","Trainee-Performed Ultrasound","Chest X-Ray","Medical Education","2025-12-17",{"date":193,"type":36},"2025-12-24",{"date":195,"type":36},"2025-09-16",{"date":197,"type":20},"2027-02",{"name":199,"class":43},"Jacobo Moreno Garijo",{"id":201,"slug":202,"hasResults":11,"nctId":203,"briefTitle":204,"officialTitle":204,"acronym":205,"eligibilityCriteria":206,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":4,"enrollmentInfo":207,"targetDuration":4,"studyType":21,"phases":209,"briefSummary":210,"conditions":211,"keywords":4,"overallStatus":94,"whyStopped":4,"lastUpdateSubmitDate":214,"lastUpdatePostDateStruct":215,"startDateStruct":217,"completionDateStruct":219,"leadSponsor":220,"locationsCount":104},"100550267","patient-reported-outcomes-targeting-early-chest-tube-removal-protectr-study-100550267","NCT06444854","Patient Reported Outcomes Targeting Early Chest Tube Removal (PROTECTR) Study","PROTECTR","Inclusion Criteria:\n\n* 18 yrs or older\n* scheduled to undergo elective VATS segmental or lobar resection of the lung\n\nExclusion Criteria:\n\n* Pulmonary function tests demonstrating forced expiratory volume in 1 second Forced Expiratory Volume (FEV1) \\\u003C50% predicted, FEV1 \\\u003C1.5L and\u002For diffusion lung capacity of carbon monoxide Lung Diffusion Test (DLCO) \\\u003C50% predicted\n* Patient receives an intraoperative pleurodesis\n* Conversion to open thoracotomy or mini thoracotomy intraoperatively.\n* Underlying cognitive disorder resulting in inability to complete activities of daily living.",{"count":208,"type":20},130,[23],"This study is a single centre, prospective clinical trial evaluating the safety and feasibility of implementing a same day chest tube removal protocol in patients undergoing Video Assisted Thoracic Surgery (VATS) anatomical pulmonary surgery.",[212,26,213],"Lung Surgery","Enhanced Recovery After Surgery (ERAS)","2024-10-24",{"date":216,"type":36},"2024-10-28",{"date":218,"type":36},"2024-10-22",{"date":159,"type":20},{"name":221,"class":43},"London Health Sciences Centre Research Institute OR Lawson Research Institute of St. Joseph's"]