Laparoscopic atelectasis in obese patients
Conditions
Interventions
Ultrasound group:Wearable echocardiographic monitoring guided fluid rehydration and pulmonary ultrasound monitoring intervention PEEP
Control group:Fluid replacement and regulatory PEEP by experienceand
Sponsors
Zigong Fourth People's Hospital
Eligibility
Sex/Gender
All
Age
30 Years to 70 Years
Inclusion criteria
Inclusion criteria: 1.Patient Aged 30 to 70 years old, BMI>=28 2.American Society of Anesthesiologists (ASA) Physical Conditions I-III 3.Patient accepting Laparoscopic radical resection of colorectal cancer, intraoperative pneumoperitoneum pressure <=15mmHg
Exclusion criteria
Exclusion criteria: 1.The patient had a history of thoracic surgery 2.Thoracic malformation or neuromuscular disease 3.Patients with pulmonary bulla or moderate or severe restrictive or obstructive pulmonary disease 4.Preoperative imaging showed atelectasis, pneumothorax or pleural effusion 5.Patients with a history of upper respiratory tract infection within 2 weeks before surgery 6.People with severe hypertension or heart dysfunction 7.Severe apnea syndrome 8.Emergency patient 9.Participated in other clinical studies within the past 3 months
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Global inhomogeneity;PACU Stay Time";Postoperative Hospital Stay Time;Postoperative Complications; | — |
Secondary
| Measure | Time frame |
|---|---|
| Pulmonary ultrasound evaluation;Positive End-expiratory Pressure;Cerebral oxygen;Bispect ral index;Body temperature;Arterial blood gas analysis;Blood pressure;Heart rate;SPO2;Infusion volume;Tidal Volume;Extubation Time; | — |
Countries
China
Contacts
Public ContactXuan Yu
Zigong Fourth People's Hospital
Outcome results
None listed