Postoperative pulmonary complications
Conditions
Interventions
Intervention Group:Individualized PEEP
Conrol group:Routine ventilation
Sponsors
General Hospital of Ningxia Medical University
Eligibility
Sex/Gender
All
Age
60 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Patients who plan to undergo laparoscopic radical resection for colorectal cancer; 2. Regardless of gender, age 60-80 years, ASA grade II-III, respiratory risk assessment (ARISCAT) score >= 26 for Catalan surgical patients; 3. Sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Radical resection of right colon cancer; 2. Preoperative severe cardiopulmonary disease, such as a history of severe chronic obstructive pulmonary disease (COPD), previous lung surgery, history of bronchial asthma, pulmonary bullae, patients receiving home oxygen therapy; 3. Preoperative oxygen saturation lower than 90%; 4. Decompensated heart disease (NYHA grade 3 or 4); 5. Chronic liver disease; 6. BMI>35kg/m2.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of postoperative pulmonary complications; | — |
Secondary
| Measure | Time frame |
|---|---|
| Oxygenation index (PaO2/FiO2);T0, T2, T6, T7 Pulmonary ultrasound score;The incidence of SpO2 decrease exceeding 2% during PACU and within 48 hours after surgery;Respiratory mechanics parameters;Hemodynamic parameters and blood gas analysis; | — |
Countries
China
Contacts
Public ContactQiu Yuxue
General Hospital of Ningxia Medical University
Outcome results
None listed