Effects of Different Ventilatory Strategy on Intraoperative Atelectasis During Bronchoscopy Under General Anesthesia.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Lung Disorder
- Sponsor
- Guangzhou Institute of Respiratory Disease
- Enrollment
- 60
- Locations
- 1
- Primary Endpoint
- Presence or absence of new atelectasis for each segment
- Status
- Not yet recruiting
- Last Updated
- 3 years ago
Overview
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.
Investigators
ShiYue Li
Director of Department of Respiratory Medicine
Guangzhou Institute of Respiratory Disease
Eligibility Criteria
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
Outcomes
Primary Outcomes
Presence or absence of new atelectasis for each segment
Time Frame: During bronchoscopy, an average of 1 hour.
The proportion of patients identified as developing intraprocedural atelectasis by radial probe endobronchial ultrasound (RP-EBUS)
Secondary Outcomes
- 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.)