Postoperative pulmonary complications
Conditions
Interventions
Test group:Implementation of lung protective ventilation strategy guided by driving pressure during surgery
Control group:Implementing traditional lung protective ventilation strategy during surgery
Sponsors
Sichuan Academy of Medical Sciences · Sichuan Provincial People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: (1) 18 = Age = 80 years old (2) undergoes abdominal surgery under general anesthesia for more than 2 hours (3) BMI = 28 kg/m2 (4) ASA I-III level (5) understands the procedures and methods of this study, is willing to sign an informed consent form, and strictly adheres to the trial protocol to complete this study.
Exclusion criteria
Exclusion criteria: (1) History of pulmonary surgery; (2) History of invasive mechanical ventilation within 30 days prior to surgery; (3) History of radiotherapy and chemotherapy within 2 months prior to surgery; (4) Severe chronic obstructive pulmonary disease with preoperative pulmonary infection, pleural effusion, pneumothorax, atelectasis, thoracic drainage tube, respiratory failure; (5) Severe heart disease defined as New York Heart Association grade III or IV, acute coronary syndrome, or persistent ventricular tachycardia (6) Severe pulmonary arterial hypertension is defined as systolic pulmonary arterial pressure>40 mmHg (7) subjects who, in the opinion of the researchers, have any other unfavorable factors to participate in this trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pulmonary complications; | — |
Secondary
| Measure | Time frame |
|---|---|
| Unplanned ICU occupancy rate;Hospital stay;Postoperative acute myocardial infarction;Postoperative acute kidney injury; | — |
Countries
China
Contacts
Public ContactLei Qian
Sichuan Academy of Medical Sciences · Sichuan Provincial People's Hospital
Outcome results
None listed