Pulmonary complications after thoracoscopic partial pneumonectomy
Conditions
Interventions
Control group (supine position group, SP group) :Patients in SP group were taken to supine position 72 hours after operation, and received routine lung care and rehabilitation training.
Experimental group (prone position group, PP group):Patients in PP group were given multiple times of awake prone position ventilation according to the actual situation within 72 hours after operation
Sponsors
Shaanxi Provincial People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Age is 18-80 years old; 2. PS score is 0-1; 3. According to the evaluation of doctors, partial pneumonectomy under endoscope (including wedge resection, segmental resection, single lobectomy, multi-lobectomy, lobectomy combined with wedge resection, sleeve resection, etc.) can be accepted; 4. Sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Trauma: unstable fractures of cervical vertebra, thoracic vertebra, lumbar vertebra, pelvis and skull; 2. Face: severe trauma and fracture of maxillofacial region; Elevated intraocular pressure or eye surgery = 15 d; 3. Nervous system: high intracranial pressure, brain edema, frequent seizures or mental state changes; 4. Hemorrhage: acute hemorrhagic disease or active bleeding; 5. Hemodynamic instability (heart rate =40 beats /min or =130 beats/min); Suspected myocardial infarction; The mean arterial pressure (map) after the application of vasoactive drugs was = 65 mmhg or = 110 mmhg; 6, airway: airway management difficulties, hemoptysis, tracheotomy = 24 h; 7. Abdomen: middle and late pregnancy, severe abdominal expansion, and abdominal soft tissue injury; 8. Musculoskeletal: kyphosis or late arthritis; 9, body mass index > >40 kg/m2 or weight > >135 kg;; 10. There is an obvious high risk of pulmonary embolism; Treatment of deep venous thrombosis = 2 d; 11. Unable to adjust the position independently or tolerate prone position without the help of others; There is serious pressure injury in the relevant parts; 12. Do not sign the informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postoperative pulmonary complications; | — |
Secondary
| Measure | Time frame |
|---|---|
| The highest grade of postoperative pulmonary complications;Incidence rate of postoperative adverse events;Oxygenation index in the first 3 days after operation;Length of stay in ICU;Use time of non-invasive ventilation;Time of tracheal intubation again;Unplanned readmission;Total hospitalization time;28-day mortality rate; | — |
Countries
China
Contacts
Public ContactYawei Dou
Shaanxi Provincial People's Hospital
Outcome results
None listed