Postoperative atelectasis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients undergoing gynecological laparoscopic surgery under general anesthesia; 2. Age >= 60 years old; 3. Duration of intraoperative laparoscopic pneumoperitoneum >= 1h; 4. ASA grade I-III, NYHA grade I-II.
Exclusion criteria
Exclusion criteria: 1.Patients with pre-existing pulmonary complications before surgery; 2.Patients with preoperative cardiac insufficiency; 3.Patients who are unable to undergo intraoperative electrical impedance tomography (EIT) monitoring due to other reasons (including those using pacemakers, implantable cardioverter defibrillators, and other electronically active implants, etc.); 4.Patients who are transferred to the intensive care unit (ICU) after surgery unplanned;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of atelectasis after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Cardiac function was evaluated 1 hour after operation;Intraoperative respiratory mechanics (plateau pressure, peak airway pressure, mean airway pressure, lung compliance, mechanical power);Intraoperative EIT parameters (ROI%, RVD, COV, GI);Incidence of hypoxemia at 1 hour after surgery;Lung ultrasound score at 1 hour after surgery;Intraoperative hemodynamic parameters (MAP, HR);Intraoperative blood gas analysis;Incidence of PPCs 7 days after surgery;Simplified clinical pulmonary infection score,sCPIS;Serum inflammatory factors: IL-6, TNF-a, hs-CRP; | — |
Countries
China
Contacts
Xuanwu Hospital Capital Medical University