Postoperative diaphragmatic dysfunction, atelectasis and pneumonia.
Conditions
Interventions
VCV group:The VCV ventilation mode was used during the operation
PCV group:The PCV ventilation mode was used during the operation
PCV-VG group:The PCV-VG ventilation mode was used during the operation
Sponsors
The First Hospital of Qinhuangdao City
Eligibility
Sex/Gender
All
Age
65 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.American Society of Anesthesiologists (ASA) grade I - II . 2.No gender restrictions. 3.Age over 65 years old . 4.BMI18 to 30. 5.No serious diseases of vital organs.
Exclusion criteria
Exclusion criteria: Preoperative diaphragmatic dysfunction or concurrent neuromuscular related diseases and related drug use history, previous chest and abdominal trauma and surgical history, and preoperative severe cardiovascular, lung, kidney or hematological diseases. During the operation, it was converted to open surgery. The duration of artificial pneumoperitoneum was less than 0.5 hours or more than 3 hours. It was difficult to cooperate with ultrasound examination after the operation. Intraoperative rescue was required. After extubation, additional opioid or sedative drugs were needed.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diaphragm contraction velocity;Diaphragmatic mobility;Diaphragmatic rapid shallow breathing index; | — |
Countries
China
Contacts
Public ContactSun Qihan
The First Hospital of Qinhuangdao City
Outcome results
None listed