Hypoxemia
Conditions
Brief summary
Postoperative hypoxemia was persistent and common after surgery.Rapid diagnosis and subsequent therapeutic measures must be adopted by anesthesiologists.Lung ultrasound has been confirmed to be more sensitive and accurate for diagnosis of pulmonary ailment than chest radiography.The primary objective of the present study was to evaluate lung complications by bedside lung ultrasonography on patients suffered from hypoxemia after general anesthesia in the postoperative period.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
\- at least 18 years of age, hypoxemia after general anesthesia ( definded as a SPO2 \<92%,greater than 30s)
Exclusion criteria
* Covered with surgical dressings from opening thoracic and breast surgery, noncooperate from schizophrenia or delirium, a BMI higher than 40 kg/m2, unstable hemodynamics, dyspnea from residual opioids or muscle relaxants, hemoglobin of 8g/L or less, risk of bleeding, body temperature was more than 38℃ or less than 36℃
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pulmonary Complications of Lung Ultrasound | 20 minutes after tracheal extubation | Pulmonary disease including atelectasis, pneumonia, pneumothorax and pleural effusion would be discovered by lung ultrasound |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of Lung Ultrasound and Computed Tomography(CT) | Within 1 hour after examnation of Lung Ultrasound | Lung ultrasound offers high sensitivity and specificity when compared with CT |
Other
| Measure | Time frame | Description |
|---|---|---|
| Correlative Factors of Lung Ultrasound Score | Through study completion, up to 8 months | Higher score value represent more ventilation loss |
Countries
China