IRCT20250627066277N2 IRCT 2026-04-30 Yasouj University of Medical Sciences chest tube removal in trauma patients ventilated and isolated from mechanical ventilation Comparison of the efficacy and complications of chest tube removal in trauma patients ventilated and isolated from mechanical ventilation admitted to the Shahid Jalil Yasuj Intensive Care Unit: An interventional study - randomized clinical trial 2026-05-31 anticipated 64 Recruiting https://irct.ir/trial/89636 interventional Randomization: Randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Random allocation of participants to the study groups will be performed using the block randomization method. The advantage of blocked randomization is that it ensures balance in the number of patients in each group. The groups will be defined using the codes A and B, with group A considered the intervention group and group B the control group. Before assigning individuals to one of the groups, a list of letters (A, B), representing the blocks, will be generated. This random allocation list will be created using the reputable website https://www.sealedenvelope.com. Each eligible and enrolled participant will be assigned to one of the groups according to the generated list. To prevent the risk of predictability of group assignments, blocks of varying sizes (2, 4, 6, and 8) will be created. Examples of blocks include: Two‑unit block: AB Four‑unit block: ABAB Six‑unit block: AABABB Eight‑unit block: ABBABABA. N/A Condition 1: Traumatic Pneumothorax. Condition 2: Traumatic hemothorax. Intervention 1: In the intervention group, before the patient is extubated, if the necessary criteria for removing the chest tube are met, the chest tube will be clamped for 6 hours, during which the patient will be closely monitored. A second radiograph will be taken after 6 hours, and if no clinical or radiographic complications are present, the chest tube will be removed, taking all technical and ethical considerations into account. Intervention 2: In the control group, after the patient is extubated, if the necessary criteria for removing the chest tube are met, the chest tube will be clamped for 6 hours, during which the patient will be closely monitored. A second radiograph will be taken after 6 hours, and if no clinical or radiographic complications are present, the chest tube will be removed, taking all technical and ethical considerations into account. No - There is not a plan to make this available Justification or reason for not sharing IPD is Our study data will be available upon reasonable request.