laparoscopic gynaecological surgery with the steep Trendelenburg position
Conditions
Interventions
SIMV-PCV-VG group:SIMV-PCV-VG mode would be implemented during anesthetic emergence
PSVpro group:PSVpro mode would be implemented during anesthetic emergence
Sponsors
West China Second Hospital, Sichuan University
Eligibility
Sex/Gender
Female
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: Eligible participants include adults (18 years = Age<80 years) with an ASA physical status of I to III, scheduled for elective laparoscopic gynecological surgery requiring steep Trendelenburg positioning, and having an expected surgical duration exceeding two hours, with planned extubation in the operating room.
Exclusion criteria
Exclusion criteria: Exclusion criteria encompass a recent history (within three months) of pneumothorax, acute lung injury, or acute respiratory distress syndrome; uncontrolled asthma; previous lung surgery; moderate or severe obstruction observed on pulmonary function test; chest x-ray anomalies such as atelectasis, pneumothorax, or giant bullae; expectation of difficult intubation (Mallampati class 3 or 4), pregnancy, and patient’s refusal.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the incidence of postoperative atelectasis; | — |
Secondary
| Measure | Time frame |
|---|---|
| LU scores;incidence of desaturation;needed supplemental oxygen;Pain score;Postoperative pulmonary complications before discharge ;Event of reintubation;Unplanned admission to ICU;Postoperative hospital stay; | — |
Countries
China
Contacts
Public ContactDongxu Chen
West China Second Hospital, Sichuan University
Outcome results
None listed