Complication, Postoperative, Respiratory Diaphragm, Surgery, Thoracic
Conditions
Brief summary
The investigator evaluated diaphragmatic function in patients undergoing thoracic surgery. Diaphragmatic displacement was evaluated before surgery, 2 and 24 hours after surgery. Also, preoperative spirometry and postoperative spirometry were collected (24 hours after surgery).
Interventions
Diaphragmatic ultrasound was performed to investigate diaphragmatic function after thoracic surgery
Sponsors
Study design
Eligibility
Inclusion criteria
* Elective surgery for lung cancer * Age \> 18 * ASA 2-3
Exclusion criteria
* BMI \> 35 * Contraindications for epidural catheter positioning * History of neurodegenerative pathology * Previous thoracic surgery * Need for mechanical ventilation after surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diaphragmatic dysfunction | 24 hours after surgery | Diaphragmatic dysfunction is descripted as a diaphragmatic excursione lower than 10 mm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pulmonary complications | 7 days after surgery | Postoperative pulmonary complications include hypoxemia, severe hypoxemia, bronchospasm, suspected pulmonary infection, new pulmonary infiltrates, atelectasis, pleural effusion |