Postoperative complications of thoracoscopic surgery
Conditions
Interventions
Test group:The day before surgery, EIT was used to measure the ventilation status in supine position, left lateral position, and right lateral position, with a duration of 1 minute each. Within 15 min
Control group:On the day before surgery, EIT was used to measure the ventilation in supine, left lateral, and right lateral positions, with a duration of 1 minute each. Within 15 minutes after anesthe
Sponsors
Tangdu Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: a. Sign an informed consent form; b. BMI: 18.5-29.9kg/m2; c. Patients scheduled for surgery under general anesthesia or thoracoscopy; d. Age = 18; e. The postoperative pulmonary complication score is moderate or high risk; f. ASA level I-II; g. No conductive suture, no multiple chest tubes.
Exclusion criteria
Exclusion criteria: a. Preoperative atelectasis and pleural effusion were present, and positive airway pressure ventilation (such as continuous positive airway pressure in sleep obstructive sleep apnea syndrome) was used before surgery; b. Emergency surgery; c. Contraindications for EIT (pacemakers, automatic implantable cardioverter defibrillators, and implantable pumps); d. Pregnant women.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence rate of postoperative complications of lung surgery after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| The severity of PPCs;Difference in ventilation volume between T0 healthy lung and T2 healthy lung;Length of hospital stay;Does the experimental group experience atelectasis from the end of surgery to the exit of PACU and the time of occurrence;heart rate;Average blood pressure;Cardiac index;Central venous pressure;Cardiac displacement;Partial pressure of carbon dioxide;Oxygen partial pressure;Finger pulse oxygen;Oxygenation index;hemoglobin;lactic acid;PH;Respiratory rate;Tidal volume;Inspiratory peak pressure;End respiratory carbon dioxide;Dynamic lung compliance;Drive pressure;The difference in ventilation volume between T2 healthy and diseased lungs and T4 healthy and diseased lungs, respectively;Intraoperative dosage of vasoactive drugs; | — |
Countries
China
Contacts
Public ContactSun Xude
Tangdu Hospital, Xinsi Road, Baqiao District, Xi'an City, Shaanxi Province
Outcome results
None listed