atelectasis
Conditions
Interventions
Intervention Group:Preoperative education and coached breathing exercise in the PACU
Control Group:Usual care
Sponsors
The First Affiliated Hospital,Sun Yat-sen University
Eligibility
Sex/Gender
All
Age
50 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.a. age 50 years or older; 2.b. scheduled for elective open hepatectomy; 3.c. with expected length of surgical procedure 3 hours or more; 4.d. agree to provide informed consent;
Exclusion criteria
Exclusion criteria: 1.a. American Society of Anesthesiologists (ASA) physical status IV-V; 2.b. BMI=30 kg/m2; 3.c. obstructive sleep apnea-hypopnea syndrome; 4.d. respiratory tract infections in the previous 30 days; 5.e. contraindications to epidural anesthesia; 6.f. history of thoracic surgery or spontaneous pneumothorax; 7.g. failure to cooperate with the breathing exercise; 8.h. pregnant;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| lung ultrasound score (LUS); | — |
Secondary
| Measure | Time frame |
|---|---|
| mortality within 30 days;hospital readmission within 30 days;arterial partial pressure of the oxygen (PaO2);Incidence of pneumonia;Incidence of unplanned oxygen therapy;Incidence of unplanned ICU admission;Length of stay in hospital;in-hospital mortality;Total cost of hospitalization;Incidence of significant atelectasis; | — |
Countries
China
Contacts
Public ContactChanyan Huang
The First Affiliated Hospital,Sun Yat-sen University
Outcome results
None listed