Lung Disorder
Conditions
Keywords
atelectasis, general anesthesia
Brief summary
This trial compares two different types of ventilation for the prevention of partial or complete collapsed lung (atelectasis) in patients undergoing interventional pulmonology procedures under general anesthesia. Ventilatory strategy to prevent reduce the intra-procedural development of atelectasis during interventional pulmonology procedures under general anesthesia.
Interventions
Using Ventilatory strategy of prevent atelectasis for General Anesthesia.
Conventional mechanical ventilation for General Anesthesia.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients undergoing interventional pulmonology procedures with radial probe endobronchial ultrasound (RP-EBUS) for peripheral lung lesions * Recent (\< 4 weeks) chest computed tomography (CT) performed prior to the bronchoscopy
Exclusion criteria
* Patients with baseline lung consolidation, interstitial changes or lung masses (\> 3 cm in diameter) in dependent areas of the lung (right/left \[R/L\] B6, 9, or 10 bronchial segments) as seen on most recent CT * History of primary or secondary spontaneous pneumothorax
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Presence or absence of new atelectasis for each segment | During bronchoscopy, an average of 1 hour. | The proportion of patients identified as developing intraprocedural atelectasis by radial probe endobronchial ultrasound (RP-EBUS) |
Secondary
| Measure | Time frame |
|---|---|
| Ventilation-induced complications | Within 48 hours of bronchoscopy |
| Bronchoscopy-induced complications | Within 48 hours of bronchoscopy |
| Assess the regional ventilation distribution by Electrical impedance tomography (EIT) | During bronchoscopy, an average of 1 hour. |
Countries
China