Postoperative pulmonary complications: pneumonia
Conditions
Interventions
Control Group (Periodic Lung Recruitment Maneuvers Group):Periodic Mechanical Lung Recruitment Maneuver
Experimental Group (No Periodic Lung Recruitment Maneuvers Group):No Periodic Lung Recruitment Maneuvers
Sponsors
The Fifth Affiliated Hospital, Sun Yat-Sen University
Eligibility
Sex/Gender
All
Age
18 Years to 75 Years
Inclusion criteria
Inclusion criteria: 1. Voluntarily sign the informed consent form; 2. ASA Physical Status Classification of I to III; 3. Aged 18 to 75 years, regardless of gender; 4. BMI between 18 and 30 kg/m^2; 5. Patients scheduled to undergo elective robot-assisted lobectomy/segmentectomy/wedge resection under general anesthesia with bronchial intubation, and for whom one-lung ventilation is anticipated to last for 60 minutes or longer.
Exclusion criteria
Exclusion criteria: 1.Pregnant or lactating patients; 2.Patients with acute or chronic respiratory failure, chronic obstructive pulmonary disease (COPD), poorly controlled asthma, or acute respiratory distress syndrome (ARDS); 3.Severe cardiovascular complications (defined as NYHA Class III to IV heart failure, acute coronary syndrome, or sustained ventricular tachycardia); 4.Contraindications to lung recruitment maneuvers, such as: hemodynamic instability, pulmonary bullae, bronchopleural fistula, undrained pneumothorax, severe barotrauma, severe pulmonary edema, elevated intracranial pressure, etc. 5.History of mechanical ventilation within the past 15 days; 6.Previous history of pulmonary resection surgery; 7.Patients with uncontrolled anxiety, schizophrenia, or other psychiatric disorders; 8.Participation in another interventional study with similar primary outcomes;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pneumonia;Acute Respiratory Distress Syndrome (ARDS);Atelectasis;Pleural Effusion;Bronchospasm;Respiratory Failure;Pneumothorax;Aspiration Pneumonitis; | — |
Secondary
| Measure | Time frame |
|---|---|
| Oxygenation Parameters;Chest Tube Removal Time;Cardiac Complications;QoR-15;Time to Tracheal Extubation and PACU Observation Time;Infectious Complications;Visual Analog Scale (VAS);Length of Hospital Stay (LOS); | — |
Countries
China
Contacts
Public ContactShanShan Ou
The Fifth Affiliated Hospital, Sun Yat-Sen University
Outcome results
None listed