One-lung ventilation in thoracoscopic pulmonary surgery
Conditions
Interventions
experimental group:the endoscopic video-stylet for endotracheal intubation (Pulusee,TY0203AS4049) in the intubation positioning
control group:auscultation-guided intubation positioning
Sponsors
Affiliated Hospital of Nantong University
Eligibility
Sex/Gender
All
Age
45 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1.Patients scheduled for thoracoscopic lobectomy or segmentectomy who require one-lung ventilation; 2.Aged 45-75 years; gender unrestricted; 3.American Society of Anesthesiologists (ASA) physical status: Class I–III; 4.Body mass index (BMI): 18.5–30 kg/m^2; 5.Voluntarily enrolled and provided written informed consent; 6.With an appropriately sized double-lumen endobronchial tube available.
Exclusion criteria
Exclusion criteria: 1.Patients with anticipated difficult tracheal intubation due to: (1).ankylosing spondylitis with limited cervical-spine mobility; (2).restricted mouth opening =180 mmHg or diastolic blood pressure is >=110 mmHg; 5.Patients with cardiac insufficiency, shock, or coma; 6.Preoperative liver or kidney function tests (ALT, AST, BUN, Cr) abnormally elevated to >1.5 times the upper limit of normal; fasting blood glucose >12 mmol/L; severe electrolyte imbalance, specifically serum potassium <3.2 mmol/L; 7.Pregnant or lactating women; 8.A history of previous abnormal anesthesia experience and recovery; 9.Patients who do not require one-lung ventilation during the perioperative period; 10.Patients whom the investigators deem unsuitable for participation in this study; Exclusion criteria: 11.Subjects who are unable to undergo tracheal intubation and surgery due to an adverse even; 12.Participants withdrawn by the investigator (due to poor compliance or serious adverse events); 13.Participants required an alternative emergent tracheal-intubation technique during the study period and therefore could not be evaluated for the device’s efficacy and safety.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| First-attempt intubation positioning success rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| satisfaction of anesthesiologists and surgeons with the quality of tracheal intubation; | — |
Countries
China
Contacts
Public ContactWang Chunguang
Affiliated Hospital of Nantong University
Outcome results
None listed