Postoperative pulmonary complications
Conditions
Interventions
STD-O2 group:Intraoperative PEEP fixation + postoperative routine oxygen therapy
OLA-O2 group:Individualized intraoperative PEEP+ postoperative routine oxygen therapy
OLA-HFNC group:Individualized intraoperative PEEP+ postoperative high flow oxygen therapy
Sponsors
The First Affiliated Hospital of Anhui Medical University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age over 18 years old; 2.ASA class I-III; 3. Scheduled for laparoscopic or robotic abdominal surgery 4. Patients with moderate to high risk of postoperative pulmonary complications according to ARISCAT score; 5. Know and agree to participate in the test and sign a written informed consent.
Exclusion criteria
Exclusion criteria: 1.History of severe lung diseases, such as chronic obstructive pulmonary disease, severe asthma, thoracic and spinal malformations, pleural effusion, pneumothorax and giant bulla, pulmonary surgery and other diseases affecting respiratory compliance 2.Severe cardiac, hepatic, renal, or hematologic disorders; 3.Central nervous system disorders impairing respiratory function; 4.Contraindications for PEEP use: intracranial hypertension, bronchopleural fistula, hypovolemic shock, etc.; 5.Participation in other clinical studies within the last 3 months; 6.Patients who refuse to participate in the trial or cannot cooperate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pulmonary complications; | — |
Secondary
| Measure | Time frame |
|---|---|
| Pulmonary ultrasound score;Mechanical ventilation parameter;Arterial blood gas;Pain score;Comfort score; | — |
Countries
China
Contacts
Public ContactLijian Chen
The First Affiliated Hospital of Anhui Medical University
Outcome results
None listed