Radical resection of lung cancer, lobectomy, wedge resection of lung, resection of pulmonary bulla, etc
Conditions
Interventions
Trial Group:Lateral position direct visualization bronchial blockade intubation: After entering the operating room, establish intravenous access and induce anesthesia with midazolam 0.05 mg/kg, sufent
position the patient in lateral decubitus (healthy side down, affected side up)
insert a 7.0–7.5 mm endotracheal tube via oral route using a video laryngoscope, then advance a visualized bronchial blockade catheter through the endotracheal tube under real-time visualization until
Control Group:Conventional supine position intubation: Preoperative preparation and anesthesia induction are the same as in the trial group
maintain the patient in supine position
a qualified physician performs intubation using a video laryngoscope, first inserting a 7.0–7.5 mm endotracheal tube, then advancing a visualized bronchial blockade catheter under real-time visualizat
Sponsors
The First Hospital Of Jiaxing
Eligibility
Sex/Gender
All
Age
18 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1. Patients scheduled for elective thoracoscopic unilateral thoracic surgery (such as radical resection of lung cancer, lobectomy, wedge resection of the lung, bullaectomy, etc.); 2. ASA classification I - III (American Society of Anesthesiologists Classification); 3. Age: 18-80 years old, body mass index (BMI): 18.5-30 kg/m^2; 4. There are no airway anatomical abnormalities (such as laryngeal deformities, tracheal stenosis, and huge tonsils), no coagulation dysfunction, and no severe insufficiency of heart, lung, liver or kidney functions; 5. The patient and their family members sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Preoperative assessment of difficult airway is suspected (body mass index >30 kg/m^2, limited neck movement, mouth opening <3 cm or Mallampati grade 3-4); 2. There is a history of difficult airway in the past; 3. History of neck surgery or radiotherapy, history of lung surgery; 4. The bronchi in the upper lobe of the right lung originate from the tracheal protrusion or above it. 5. Allergic to anesthetic drugs and materials for blocking bronchial intubation; 6. Pregnant or lactating women; 7. There are symptoms of acute lung or airway infection; 8. Preoperative upper limb pain; 9. Mental illness or cognitive impairment makes it impossible to cooperate with researchers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intraoperative catheter displacement rate; | — |
Secondary
| Measure | Time frame |
|---|---|
| Intubation frequency;Positioning time;Number of adjustments of bronchial intubation;Intraoperative hypoxemia, airway hypertension, hypotension, hypertension, tachycardia, bradycardia; postoperative complications (tooth damage, sore throat, hoarseness, discomfort in the compressed upp;Satisfaction index;PACU stay duration;PACU extubation time;Intubation time; | — |
Countries
China
Contacts
Public ContactLiu Mingjuan
The First Hospital Of Jiaxing
Outcome results
None listed