One-lung Ventilation, Oxygenation, Temperature
Conditions
Brief summary
One-lung ventilation interrupts oxygenation. The effect of heated humidifed breathing circuit on arterial oxygenation during one-lung ventilation has not been investigated. The investigators will investigate the effect of the heated humidifed breathing circuit on oxygenation during one-lung ventilation in patients undergoing thoracoscopic surgery.
Interventions
Heated and humidified breathing circuit will be turned on.
Heated and humidified breathing circuit will be turned off.
Sponsors
Study design
Eligibility
Inclusion criteria
* American Society of Anesthesiologist class I-II * Patients scheduled for one-lung ventilation for thoracoscopic surgery
Exclusion criteria
* Obesity * Severe obstructive or restrictive lung disease * Preoperative oxygen supply * Preoperative intubated state or under mechanical ventilatory support * Baseline arterial partial pressure of oxygen (PaO2) \< 70 mmHg * Symptomatic coronary or peripheral arterial disease * Renal failure * Preoperative continuous infusion of inotropes or vasopressor * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Arterial oxygenation | At 30 minutes after one-lung ventilation | Arterial oxygenation (mmHg) will be measured by arterial blood analysis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Mean arterial pressure | At 0, 15, 30, 45, and 60 minutes after one-lung ventilation | Mean arterial pressure (mmHg) will be measured. |
| Heart rate | At 0, 15, 30, 45, and 60 minutes after one-lung ventilation | Heart rate (beats/min) will be measured. |
| Temperature | At 0, 15, 30, 45, and 60 minutes after one-lung ventilation | Body temperature (°C) will be measured. |
| Central venous pressure | At 0, 15, 30, 45, and 60 minutes after one-lung ventilation | Mean central venous pressure (mmHg) will be measured by a central venous catheter. |
| Cardiac index | At 0, 15, 30, 45, and 60 minutes after one-lung ventilation | Cardiac index (l/min/m\^2) will be measured by pulse-contour analysis. |
| Arterial oxygenation | At 0, 15, 45, and 60 minutes after one-lung ventilation | Arterial oxygenation (mmHg) will be measured by arterial blood analysis. |
| Pressure plateau | At 0, 15, 30, 45, and 60 minutes after one-lung ventilation | Plateau pressure of ventilation (cmH2O) will be measured. |
| Arterial carbon dioxide | At 0, 15, 30, 45, and 60 minutes after one-lung ventilation | Arterial carbon dioxide will be measured. |
| Arterial blood acidosis | At 0, 15, 30, 45, and 60 minutes after one-lung ventilation | Arterial blood acidosis will be measured. |
| Oxygen saturation of arterial blood | At 0, 15, 30, 45, and 60 minutes after one-lung ventilation | Oxygen saturation of arterial blood (%) will be measured. |
| Pressure peak | At 0, 15, 30, 45, and 60 minutes after one-lung ventilation | Peak pressure of ventilation (cmH2O) will be measured. |