Ultrasound-guided lung recruitment
Conditions
Interventions
Intervention group:When atelectasis was found after anesthesia induction and at the end of the operation, ultrasound-guided lung recruitment was performed
Control group:After anesthesia induction and at the end of the operation, atelectasis was found and the traditional maneuver was used for lung recruitment
Sponsors
Beijing Friendship Hospital, Capital Medical University
Eligibility
Sex/Gender
All
Age
45 Years to 74 Years
Inclusion criteria
Inclusion criteria: 1) patients aged 45-74; 2) ASA grade ? ~ ?; 3) General anesthesia prone position surgery at an optional date.
Exclusion criteria
Exclusion criteria: 1) Patients with severe pulmonary and respiratory diseases before surgery. 2) Patients with atelectasis, pneumothorax, bullae, pleural effusion, and nerve damage before surgery. 3) BMI = 35 kg/m2. 4) Patients with a history of severe heart disease and thoracic surgery. 5) Patients with a recent history of general anesthesia surgery, and patients with this operation often = 1 h. 6) Patients with mental illness who do not cooperate with lung ultrasound, those with intellectual disabilities, and those who cannot give informed consent due to health conditions. 7) Patients with severe hemodynamic fluctuations, massive hemorrhage, and shock rescue during the operation. (8) Postoperative follow-up records were incomplete.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Whether atelectasis occurred at the end of the operation in both groups; | — |
Secondary
| Measure | Time frame |
|---|---|
| LUS score at each time point in the two groups of patients;Hemodynamic parameters (HR, MAP, SpO2, arterial blood gas) at each time point;Mechanical ventilation parameters at each time point (maximum airway pressure, mean airway pressure, dynamic pulmonary compliance, PEEP value, number of retractions);Alveolar arterial oxygen partial pressure difference at each time point;respiratory index at each time point;hypotension during atelectasis;Postoperative pulmonary complications;Length of stay in PACU/ICU, postoperative hospital stay.;Baseline characteristics (sex, age, height, weight, comorbidities, history of operation, history of special medication, main diagnosis, intraoperative intake and withdrawal, operation time, anesthesia time, extubation time, smoking history, etc.); | — |
Countries
China
Contacts
Public ContactCao Lei
Beijing Friendship Hospital, Capital Medical University
Outcome results
None listed