cardiac surgery
Conditions
Interventions
Bronchial closure catheter group:Trachea intubation using broncho-occluded catheter
Double lumen bronchial catheter group:The trachea was intubated using a double lumen bronchial catheter
Sponsors
Xiangya Hospital,Central South University
Eligibility
Sex/Gender
All
Age
18 Years to 65 Years
Inclusion criteria
Inclusion criteria: (1) Elective surgery; (2) Patients requiring single lung ventilation for minimally invasive heart surgery; (3) Age 18-65 years old; (4) The heart function is grade ?-? (using the heart function grading method developed by the American College of Cardiology). (5) Voluntary participation and signed informed consent.
Exclusion criteria
Exclusion criteria: (1) Emergency surgery; (2) Patients with a previously diagnosed or suspected Airway difficulty (Mallampati airway Class SCORE of 3 or 4, airway opening degree less than 3.5 cm); (3) A history of cystic fibrosis, bronchiectasis, severe COPD or severe asthma; (4) Patients with full stomach and history of gastroesophageal reflux disease; (5) Pregnant and lactating women; (6) Researchers considered it inappropriate to be included in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of microaspiration of large amounts of gastric contents or oropharyngeal secretions; | — |
Secondary
| Measure | Time frame |
|---|---|
| The rate and number of times bronchooccluded or double-lumen bronchial catheters failed or shifted;Pepsin and salivary amylase levels in patients' tracheal aspirates;Incidence of postoperative sore throat and hoarseness;Lung collapse score;The incidence of postoperative pulmonary complications within 7 days after surgery;ICU stay time;The incidence of extrapulmonary complications within 7 days after surgery;Rate of positive cardiovascular response with DLT or BB insertion;Incidence of long-term postoperative pulmonary complications;Incidence of long-term postoperative all-cause mortality;Postoperative unplanned admission rate; | — |
Countries
China
Contacts
Public ContactZhang Zhong
Xiangya Hospital, Central South University
Outcome results
None listed