Pulmonary complications after thoracic lung surgery
Conditions
Interventions
Group C:Lung recruitment with 100% oxygen concentration
Group L:Lung recruitment with 40% oxygen concentration
Sponsors
The General Hospital of Western Theater Command
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Age = 18 years old; 2. ASA I - III; 3. Thoracoscopic lung surgery is planned; 4. Estimated operation time = 2h; 5. Sign the informed consent form to voluntarily participate in this study.
Exclusion criteria
Exclusion criteria: 1. Pulmonary diseases: acute respiratory distress syndrome (defined as PaO2/FiO235kg/m2; 3. He has had chest surgery in the past; 4. Chest X-ray or CT shows pneumothorax or pulmonary bullae; 5. Contraindications of PEEP: high intracranial pressure, hypovolemic shock, right heart failure; 6. Pregnancy or lactation; 7. Neuromuscular disease; 8. Intracranial injury or tumor; 9. Severe pulmonary hypertension (defined as pulmonary systolic pressure>40mmHg); 10. Serious heart disease (NYHA grade III or IV, acute coronary syndrome or persistent ventricular tachyarrhythmia); 11. Participate in other intervention studies or refuse to participate in the group.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| postoperative pulmonary complications; | — |
Secondary
| Measure | Time frame |
|---|---|
| inflammatory factor;oxygenation Index;postoperative VAS score;postoperative nausea and vomiting;reintubation;reoperation;ICU length of stay;hospital length of stay;incidence of in-hospital mortality;Drainage tube length of retention;postoperative hospital length of stay; | — |
Countries
China
Contacts
Public ContactWei Wu
The General Hospital of Western Theater Command
Outcome results
None listed