Ahmed Jad

July 2018

  • PY4
  • Residency Program: Dalhousie University
  • Supervisors: Dr. Madelaine M. Plourde,

Background:

Ahmed completed his MBBCH degree with Honors at Suez Canal University in Egypt, where he was hired as an instructor for the Department of Medical Education. He also worked as a consultant for the United Nations Development Programme on a project focusing on slums upgrading. He was a Tissue and Eye Bank specialist at the Nova Scotia Health Authority in Halifax. He completed his medical degree at Dalhousie University.

Research Summary:

Title: Digital air leak monitoring for patients undergoing anatomical lung resection: a randomized controlled clinical trial

Air leak is the most significant complication following lung resection resulting in delayed discharge from hospital. The incidence of prolonged air leaks is 5-25%. Multiple trials have shown favorable outcomes with the use of digital air leak recording. The majority of previous trials are limited by small sample sizes, heterogeneity in the type of lung resections and lack of follow-up. The study is a single centre randomized controlled trial at the Victoria General Hospital of the NSHA in Halifax, NS. A comparison of the use of digital and analog chest tube devices in patients undergoing anatomical lung resection was completed. 215 patients underwent randomization immediately after surgery.

Results: There was no significant difference in outcomes for length of hospital stay (p=0.211), chest tube duration (p=0.141) and number of CXR performed (p=0.299). There was also no difference in post-chest tube removal pneumothorax (p=0.279) or need for chest tube re-insertion (p=0.294). The only significant finding was that of a higher number of patients having their chest tube clamped prior to removal, 47% in the non-digital group and 18% in the digital group (p<0.001).

Conclusions: Digital devices did not result in reduced chest tube duration or hospital length of stay.

His work was presented nationally for the Canadian Association of Thoracic Surgeons at the Canadian Surgical Forum. He will be presenting it internationally at the Society of Thoracic Surgeons in Florida, USA. His research has been accepted for publication in the Annals of Thoracic Surgery.