Strategy for Prompt and Effective Thoracentesis in the Emergency Department
Recruiting
N/AInterventional Study
Pleural EffusionPleural DiseasesHeart Failure
No Placebo Group
Every participant receives an active treatment — no one gets a placebo.
Ready to participate?
Review the details below, then apply to join this clinical trial.
At a Glance
Age
18 and older
Sex
Any
Study type
Interventional
Purpose
Treatment
Participants needed
188 (estimated)
Sponsor
University of Aarhus · Other
Who this trial is looking for
This trial is looking for adults who need fluid removal from around the lungs. Participants will either have the fluid removed manually in the emergency department or allowed to drain using gravity in the radiology department.
Are You a Good Fit for This Trial?
You may be able to join if
I am at least 18 years old.
I have pleural effusion shown by imaging.
My doctor says I need thoracentesis.
I do not have any reasons that prevent thoracentesis.
You may not be able to join if
I am experiencing life-threatening breathing issues.
I cannot give consent.
I have had pleurodesis before.
My effusion is complicated and not free-flowing.
I have been in this trial before.
I cannot be randomly assigned because my doctor chose a different procedure.
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
Think this trial could be right for you?
Answer a few quick questions to see if you may meet the eligibility requirements.
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 clinic…
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.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* Patients ≥ 18 years admitted to the ED
* Pleural effusion detected by any imaging modality (e.g., bedside ultrasound, chest x-ray, computed tomography)
* Clinically justified need for thoracentesis ( symptomatic relief and/or define the etiology of the effusion
* Without contr…
Inclusion Criteria:
* Patients ≥ 18 years admitted to the ED
* Pleural effusion detected by any imaging modality (e.g., bedside ultrasound, chest x-ray, computed tomography)
* Clinically justified need for thoracentesis ( symptomatic relief and/or define the etiology of the effusion
* Without contraindication for thoracentesis in the emergency department (e.g., anticoagulant treatment)
Exclusion Criteria:
* Life-threatening respiratory distress
* Not able to give consent
* Previous pleurodesis
* Effusion does not appear free-flowing due to septations or loculations / suspected empyema
* Prior enrollment in the trial
* If randomization is not possible because decision to insert a pigtail catheter is made in the radiology department
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