Postoperative pulmonary complications
Conditions
Interventions
Bronchial blocker:Use a bronchial blocker for lung isolation.
Double-lumen endobronchial tube:Use a double-lumen endobronchial tube for lung isolation.
Sponsors
Ningbo No.2 Hospital
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1.Scheduled to undergo unilateral thoracoscopic surgery requiring one-lung ventilation; 2.Expected one-lung ventilation duration = 1 hour; 3.Age >= 18 years; 4.ASA classification I–III; 5.Voluntary participation with signed informed consent.
Exclusion criteria
Exclusion criteria: 1.Pregnancy or lactation; 2.BMI>=28kg/m^2; 3.Suspected or known difficult airway; 4.Moderate or severe acute respiratory distress syndrome; 5.Preoperative pulmonary function showing FEV1 13 pg/mL; 7.Diagnosed or suspected intracranial hypertension (ICP > 15 mmHg); 8.Receipt of oxygen therapy, endotracheal intubation, or mechanical ventilation (including CPAP) within the past month; 9.Chest X-ray or CT showing pneumothorax or giant pulmonary bulla; 10.History of prior thoracic surgery, thoracic radiotherapy, or pleural/interstitial lung disease; 11.Contraindications to bronchial blocker use: pulmonary edema or excessive secretions; risk of contaminating the contralateral lung; planned pneumonectomy; sleeve resection of an upper lobe; right-sided surgery when the right upper-lobe bronchus opens at or above the carina; 12.Undergoing bilateral lung surgery or concurrent surgery at another site; 13.Currently participating in another interventional clinical trial;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Composite incidence rate of postoperative pulmonary complications; | — |
Secondary
| Measure | Time frame |
|---|---|
| QoR-15 (Quality of Recovery-15) scores on postoperative days 1 and 3.; | — |
Countries
China
Contacts
Public ContactLu Bo
Ningbo No.2 Hospital
Outcome results
None listed