Lung diseases
Conditions
Interventions
Lateral Group:After the operation, the double-lumen endotracheal tube was removed in the lateral position.
Supine Group:After the operation, the double-lumen endotracheal tube was removed in the supine position.
Sponsors
Chengdu Second People’s Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Age between 18 years and 75 years old, gender not restricted; 2. ASA score ranging from I to III; 3. BMI between 18.0 kg/m^2 and 30.0 kg/m^2; 4. Scheduled for elective thoracoscopic lung surgery (such as lobectomy, segmentectomy, wedge resection of lung, mediastinal tumor resection, etc.); 5. Estimated operation time ranging from 1 hour to 4 hours; 6. Participants voluntarily participate in this trial and sign a written informed consent form.
Exclusion criteria
Exclusion criteria: 1. Patients with severe cardiac or pulmonary dysfunction before the operation (such as severe chronic obstructive pulmonary disease at GOLD IV level, heart failure at NYHA III/IV level); 2. Patients with severe intracranial lesions or intracranial hypertension before the operation; 3. Patients with known esophageal diseases (such as severe gastroesophageal reflux, hiatal hernia, esophageal diverticulum, etc.) or with a high risk of severe aspiration before the operation; 4. Patients with high risk of difficult tracheal intubation or extubation (such as severe obesity with BMI >= 35 kg/m^2), severe limitation of neck movement, and Mallampati grade III/IV); 5. Patients who develop life-threatening serious complications during the operation and need to be transferred to the intensive care unit (ICU) for mechanical ventilation; 6. Patients who do not meet the extubation criteria after the operation, or who need to switch to a single-lumen tracheal tube during the operation; 7. Pregnant or lactating women; 8. Patients who are unable to understand or cooperate with the instructions of the researchers.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall incidence of respiratory system adverse events; | — |
Secondary
| Measure | Time frame |
|---|---|
| The incidence rate of individual respiratory system adverse events;Hemodynamic indicators;PACU stay time;The incidence of pulmonary complications within 72 hours after surgery;Pain score;Throat discomfort score; | — |
Countries
China
Contacts
Public ContactMan Yang
Chengdu Second People’s Hospital
Outcome results
None listed