Ards, One Lung Ventilation, Postoperative Pulmonary Atelectasis, Postoperative Pulmonary Complications
Conditions
Keywords
postoperative pulmonary complications, one lung ventilation
Brief summary
This observational study investigates the relationship between the duration of single-lung ventilation (SLV) and the incidence of postoperative pulmonary complications (PPCs) such as pneumonia, pneumothorax, hemothorax, acute lung injury, and acute respiratory distress syndrome (ARDS) in adult patients undergoing thoracic surgery. A total of 134 patients aged 18-85 years, scheduled for thoracic surgery requiring SLV, will be monitored. Data including SLV duration, perioperative parameters, and postoperative pulmonary outcomes will be analyzed.
Interventions
In this observational study, the naturally occurring duration of intraoperative single-lung ventilation (SLV) during thoracic surgery will be recorded. No intervention is applied or modified for research purposes. The exposure of interest is the total duration (in minutes) of SLV, which will be timed from initiation to termination during surgery. This variable will be analyzed in relation to postoperative pulmonary complications.
Sponsors
Study design
Eligibility
Inclusion criteria
Age ≥18 years Undergoing thoracic surgery OLV planned during the procedure
Exclusion criteria
Pediatric patients Patients not requiring OLV Previous thoracic surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postopertive Pulmonary Complications | postoperative 7 days | Postoperative pulmonary complications (PPCs) are defined as respiratory events occurring within the first seven days following thoracic surgery, which negatively impact patient outcomes. In this study, PPCs include pneumonia, pneumothorax, hemothorax, acute lung injury, acute respiratory distress syndrome (ARDS), prolonged oxygen requirement, unplanned reintubation, and the need for non-invasive ventilation. These complications will be identified through clinical assessment, arterial blood gas analysis, and postoperative imaging such as chest X-rays. Each case will be evaluated using predefined diagnostic criteria to ensure consistency. The incidence of PPCs will be analyzed in relation to the duration of intraoperative single-lung ventilation. |
Countries
Turkey (Türkiye)