Health Condition 1: C30-C39- Malignant neoplasms of respiratory and intrathoracic organs
Conditions
Interventions
Intervention1: Early creation of pneumothorax: After achieving lung isolation, under aseptic precautions and ultrasound guidance, a fluid filled syringe will be attached to a 16 G canula and inserted
Sponsors
Tata Memorial Hospital
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients undergoing minimally invasive thoracoscopic procedures requiring one lung ventilation where left sided Double lumen tube (DLT) is used for lung isolation
Exclusion criteria
Exclusion criteria: 1. Non consent 2. Coagulopathy 3. When lung adhesions are suspected: on CT scan, history of TB, previous surgery, pneumonia, chest wall involvement by tumor. 4. Patients with emphysematous bullae, preexisting pneumothorax or pleural effusion on lung imaging 5. FEV1 6. If spirometric lung function tests not done, patients with a diagnosis of significant Chronic Obstructive Pulmonary Disease (COPD) i.e. needing systemic steroids or theophylline will be excluded. 7. Cases where lung isolation not achieved i.e. lung slide present on non-ventilated side 8. Absence of lung slide at the site of needle insertion (signifying possibility of lung adhesions ) 9. Patients who are observed to have lung adhesions after insertion of thoracoscope.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percent of patients having excellent collapse i.e. lung collapse score of 3 or lessTimepoint: Immediately after insertion of thoracoscope | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Lung collapse scores at first thoracoscope insertion 2. Association between lung collapse score and time between needle insertion and first thoracoscope insertion 3. Association between lung collapse score and Preoperative FEV1 Timepoint: Immediately after inserion of thoracoscope | — |
Countries
India
Contacts
Public ContactMadhavi Shetmahajan
tata memorial hospital
Outcome results
None listed