Pulmonary complications after thoracic surgery
Conditions
Interventions
Conventional Suction group:After conversion to two-lung ventilation and prior to tracheal extubation, suction was performed using a conventional suction catheter.
Fiberoptic Bronchoscopic Suction group:After conversion to two-lung ventilation and prior to tracheal extubation, precise suction was performed with the assistance of fiberoptic bronchoscopy.
Sponsors
The First Affiliated Hospital, Wenzhou Medical University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Elective thoracoscopic lung resection (including segmentectomy, lobectomy, bilobectomy, sleeve lobectomy, and pneumonectomy); 2. Age>=18 years; 3. ASA classification I to III; 4. Mallampati classification I to III; 5. Conscious and alert.
Exclusion criteria
Exclusion criteria: 1. Anticipated difficult airway before surgery; 2. Lung diseases affecting normal oxygenation (pneumonia, chronic obstructive pulmonary disease, bronchiectasis, asthma, etc.); 3. Patients with mental illnesses who are difficult to cooperate; 4. Central nervous system diseases; 5. History of previous thoracic surgery or respiratory tumors; 6. Patients who are unsuitable to participate in the study for other reasons.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The incidence of first PPCs within 7 days after surgery; | — |
Secondary
| Measure | Time frame |
|---|---|
| Diaphragm thickening fraction during tidal breathing;Diaphragm excursion during tidal breathing;Diaphragm thickening fraction during maximal inspiration;Diaphragm excursion during maximal inspiration;The incidence of PPCs;The incidence of other postoperative complicaitons; | — |
Countries
China
Contacts
Public ContactJiehao Sun
The First Affiliated Hospital, Wenzhou Medical University
Outcome results
None listed