Postoperative pulmonary complications
Conditions
Interventions
BiPAP group (Group of non-invasive positive pressure ventilation after extubation):After extubation, an oral-nasal mask was placed on the patient, and a ventilator was connected for dual-level airway
COT group (oxygen inhalation through nasal cannula after extubation):After extubation, nasal cannula oxygen inhalation was performed. The oxygen flow rate was adjusted according to the patients finger
Sponsors
The Second Hospital of Dalian Medical University
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1.Patients who are scheduled to undergo thoracoscopic lobectomy and are expected to be admitted to the PACU after the operation; 2.Preoperative finger oxygen saturation >= 90%, arterial oxygen partial pressure >= 70 mmHg, and carbon dioxide partial pressure 35 mmHg - 45 mmHg; 3.Patients who met the criteria for removing the tracheal tube after surgery and successfully had the tracheal tube removed;
Exclusion criteria
Exclusion criteria: 1.The patient refused to participate in the trial; 2.Those who had preoperative pulmonary diseases such as pulmonary edema, atelectasis, and pneumonia; 3.Patients expected to be admitted to the ICU after the operation; 4.There are any contraindications for NPPV, such as unconsciousness, excessive mucus production, or unstable hemodynamics. 5.Those with abnormal liver and kidney functions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient's lung ultrasound score;Pulmonary CT imaging results; | — |
Secondary
| Measure | Time frame |
|---|---|
| Blood pressure, heart rate and pulse oxygen saturation;Arterial oxygen partial pressure, arterial carbon dioxide partial pressure and oxygenation index;Incidence of complications related to non-invasive ventilation;Postoperative NRS pain score;The time when the patient first went out for physical activity;Length of hospital stay;In-hospital mortality rate; | — |
Countries
China
Contacts
Public ContactHaitao Yang
The Second Hospital of Dalian Medical University
Outcome results
None listed