non-small cell lung cancer (NSCLC)
Conditions
Interventions
Experimental group:Intraoperative assisted positioning of double lumen endotracheal tube by surgeon
Control group:Traditional anesthesiologist blind insertion method supplemented by fiberoptic bronchoscope direct vision double-lumen endotracheal tube positioning method
Sponsors
West China Hospital, Sichuan University
Eligibility
Sex/Gender
All
Age
20 Years to 79 Years
Inclusion criteria
Inclusion criteria: From December 2021 to November 2023, patients who received double-lumen tracheal tube general anesthesia and thoracoscopy-assisted minimally invasive lobectomy for non-small cell lung cancer at the Lung Cancer Center and Thoracic Surgery Department of West China Hospital, Sichuan University, and who had poor one-lung ventilation (Including the reversed position of the long branch of the double-lumen endotracheal tube and the situation where the position of the long branch is normal but the depth of the catheter is abnormal) at the beginning of the operation.
Exclusion criteria
Exclusion criteria: 1. After the initial adjustment of the position of the tracheal tube by the anesthesiologist, the patient with one-lung ventilation can be maintained in two minutes; 2. Patients with thoracic adhesions: thoracic adhesions may affect the smooth judgment of one-lung ventilation, and intraoperative treatment of thoracic adhesions may take a long time, causing measurement bias of the outcome indicators of this study; 3. Patients with difficult dissection due to mediastinal and hilar lymph node calcification or inflammation: patients with mediastinal and hilar lymph node calcification or difficult dissection of inflammation may increase the probability of conversion to thoracotomy during minimally invasive thoracoscopic surgery, and make it difficult to apply this new technology at the beginning of surgery; 4. Patients with thoracoscopic conversion to thoracotomy: the conversion of thoracoscopic minimally invasive surgery to thoracotomy takes a long time, which may cause the measurement bias of the outcome indicators of this study; 5. Patients who refuse to participate in the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| One-lung ventilation related indicators;Surgery and anesthesia related indicators; | — |
Secondary
| Measure | Time frame |
|---|---|
| Fiberoptic bronchoscopy indicators; | — |
Countries
China
Contacts
Public ContactZheng Xi
West China Hospital, Sichuan University
Outcome results
None listed