Lung nodule
Conditions
Interventions
Supine position group:Video laryngoscope intubation in the supine position
Lateral position group:Light wand-guided intubation in the lateral position
Sponsors
Sichuan Provincial People's Hospital
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Age 18-75 years old; 2. Planned elective thoracoscopic lung segmentectomy; 3. Requires one-lung ventilation (OLV); 4. ASA classification I-III; 5. BMI 18.5-28.0 kg/m^2; 6. Airway assessment: Mallampati class I-II, mouth opening >= 3 cm, thyromental distance >= 6 cm; 7. Voluntarily participates and signs informed consent.
Exclusion criteria
Exclusion criteria: 1. Mallampati classification III-IV; 2. Limited cervical spine mobility (flexion/extension <80°); 3. History of neck radiotherapy or surgery; 4. Severe cardiovascular disease (EF <40%, unstable angina); 5. Severe respiratory disease (FEV1 <50% of predicted); 6. Hepatic or renal dysfunction (Child-Pugh B/C, eGFR <30 ml/min); 7. Pregnant or breastfeeding women; 8. Inability to cooperate due to psychiatric disorders; 9. Emergency surgery; 10. Participation in other interventional clinical studies.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Induction period ventilation efficiency, first intubation success rate, intubation success rate;Efficiency of entering the room and starting the surgery, efficiency of positioning the patient for the surgery, efficiency of intubation procedure (from the insertion point of the laryngoscope / ligh; | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of airway complications, incidence of position-related injury complications;Invasive blood pressure, heart rate, blood oxygen saturation, electrocardiogram, depth of anesthesia, body temperature, respiratory parameters, etc.;Closure device positioning efficiency, single-lung ventilation quality, catheter/embolic device displacement rate;Satisfaction (patients, anesthesiologists, surgeons, surgical care);Operating room turnover rate; | — |
Countries
China
Contacts
Public ContactDayong Lin
Sichuan Provincial People's Hospital
Outcome results
None listed