lung cancer
Conditions
Interventions
Conventional liquid group (Group C):The total amount of fluid supplementation is preoperative fluid loss+physiological requirement+intraoperative fluid loss
Target oriented liquid therapy group (Group G) :Using TL-400 monitor to monitor hemodynamic parameters SVV and CI to guide fluid replacement
Sponsors
The First Affiliated Hospital of Gannan Medical University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: ? Patients undergoing elective thoracoscopic pulmonary resection ? Age 18-75 years old ? ASA grade I-III ? BMI index 18.5-25.0kg · ? ? Cardiac function grades I-III
Exclusion criteria
Exclusion criteria: ? Arrhythmias ? Decompensated heart disease ? ASA Level IV ? Preoperative pulmonary dysfunction (FEV1<50% of predicted value) ? Preoperative hemoglobin<90g/L ? Preoperative renal dysfunction (creatinine above normal) ? Previous history of lung surgery ? Severe diseases of other organs combined.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of pulmonary complications; Record intraoperative inflow and outflow; | — |
Secondary
| Measure | Time frame |
|---|---|
| Record respiratory dynamics indicators before single lung ventilation (T0), 30 minutes of single lung ventilation (T1), 60 minutes of single lung ventilation (T2), 10 minutes of resumption of dual lung ventilation (T3), and at the end of surgery (T4);Record hemodynamic indicators before single lung ventilation (T0), 30 minutes of single lung ventilation (T1), 60 minutes of single lung ventilation (T2), 10 minutes of resumption of dual lung ventilation (T3), and at the end of surgery (T4);Dosage of vasoactive drugs used;The incidence of renal complications;Length of hospital stay;Gastrointestinal exhaust duration; | — |
Countries
China
Contacts
Public ContactMaolin Zhong
The First Affiliated Hospital of Gannan Medical University
Outcome results
None listed