Spinal surgery patients
Conditions
Interventions
Standard control group:Fixed peep + small tidal volume + lung recruitment
Test group:Fixed peep + small tidal volume + lung recruitment + reverse Trendelenburg position
Sponsors
Hefei BOE Hospital
Eligibility
Sex/Gender
All
Age
40 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. ASA grade I-III; 2. Age >= 40 years old; 3. Elective spinal surgery under general anesthesia with BMI = 2 hours, and the informed consent was signed.
Exclusion criteria
Exclusion criteria: 1. Those with severe hypertension or heart disease; 2. Those with moderate or severe restrictive or obstructive pulmonary disease; 3. Those with anemia; 4. The patients cannot understand various scale items; 5. With a history of neurological and psychiatric diseases.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Driving pressure at 2h after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| T0, T1, T2, T3, T4 blood gas results (oxygenation index, BE value, lactate, etc.);T1, T2, T3 respiratory mechanics indicators (lung compliance, airway plateau pressure, peak airway pressure, driving pressure, etc.);Pulmonary complications 7 days postoperatively; | — |
Countries
China
Contacts
Public ContactDengrong Wei
Hefei BOE Hospital
Outcome results
None listed