lung cancer
Conditions
Interventions
Intervention Group:The initial tube selection and intubation were performed using the tracheal intubation strategy recommended by the airway three-dimensional reconstruction system.
Control group:The anesthesiologist selects the catheter size and insertion method empirically based on the patients gender, height, and chest imaging.
Sponsors
Peking Union Medical College Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Aged 18 to 75 years; 2. Scheduled for elective VATS partial lung resection (e.g., wedge resection, segmentectomy, lobectomy) with intraoperative DLT intubation; 3. ASA physical status class I-III; 4. Preoperative chest CT data available for three-dimensional reconstruction; 5. Willing to participate in the study and voluntarily provide written informed consent.
Exclusion criteria
Exclusion criteria: 1. Preoperative severe respiratory diseases, such as severe COPD (defined as GOLD grade =3), pulmonary infection, or acute asthma exacerbation; 2. Clinically predicted difficult airway, including but not limited to limited neck extension, spinal deformity, airway or head/neck tumors, or significant anatomical abnormalities of the airway.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Success rate of initial DLT placement ?without fiberoptic bronchoscopy assistance; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative hypoxemia;Incidence of hoarseness;Number of adjustment attempts;Other serious intraoperative complications;Peak airway pressure during surgery;Incidence of sore throat;Intubation duration;Surgeon's satisfaction with lung collapse; | — |
Countries
China
Contacts
Public ContactZhu Qianmei
Peking Union Medical College Hospital
Outcome results
None listed