postoperative atelectasis
Conditions
Interventions
Conventional recruitment maneuver:Conventional recruitment maneuver
Lung ultrasound-guided recruitment maneuver:LUS-guided recruitment maneuver
EIT-guided recruitment maneuver:EIT-guided recruitment maneuver
Sponsors
West China Hospital of Sichuan University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.aged 18 years or older; 2.scheduled for abdominal surgery with an expected duration of more than 2 hours under general anaesthesia; 3.had an intermediate or high risk of having postoperative pulmonary complications according to the Assess Respiratory Risk in Surgical Patients in Catalonia (ARISCAT) score =26;
Exclusion criteria
Exclusion criteria: 1.had contraindication of recruitment maneuvers, including pneumothorax or severe barotrauma, bullae, persistent hemodynamic instability or intractable shock, or known/suspected intracranial hypertension; 2.with a previous history of lung surgery; 3.comorbid COPD (GOLD class III or IV), or heart failure (NYHA class III or IV), or neuromuscular disease; 4.pacemaker or implantable cardioverter defibrillator placement, or severe skin lesions or wounds on the chest; 5.pregnancy; 6.enrollment in another interventional study;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoprative atelectasis; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative lung ultrasound;Postoperative hypoxemia;Postoperative oxygenation index;Pulmonary complications within 7 days after surgery;The severity grade of pulmonary complications within 7 days after surgery;Length of postoperative hospitalization;Days alive and at home up to 30 days after surgery;Cost of hospitalization;Reintubation within 30 days after surgery;Unplanned admission to intensive care unit (ICU) within 30 days after surgery;30-day all-cause mortality; | — |
Countries
China
Contacts
Public ContactHai Yu
West China Hospital of Sichuan University
Outcome results
None listed