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Shunt Evaluation With ALPE System in Thoracic Surgery

Completed
Conditions
Mechanical Ventilation
Thoracic Diseases
Registration Number
NCT02968550
Lead Sponsor
Università degli Studi di Ferrara
Brief Summary

. The aim of this study, thus, is to evaluate shunt fraction and markers of alveolar distress during one lung ventilation (OLV) at different levels of positive end expiratory pressure (PEEP). Moreover, investigators will focus on predicting factors of high shunt levels during OLV.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
41
Inclusion Criteria
  • patients scheduled for thoracoscopic lobectomy or thoracoscopic wedge resection in lateral decubitus.
  • patients American Society of Anesthesiologists Physical Status Classification score of 1-3
Exclusion Criteria
  • Patients with hemodynamic instability,
  • Patients with severe chronic respiratory failure
  • Patients with preoperative anemia (hemoglobin <10 g 100 ml-1)
  • Patients requiring unplanned conversion to thoracotomy

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Pulmonary shunt evaluated with ALPE systemevery 30 minutes after the start of surgery up to 3 evaluations, up to 90 minutes
Secondary Outcome Measures
NameTimeMethod
predictors of high intraoperative shuntThe outcome is assessed 15 minutes after one lung ventilation

All patients admitted to the study received a preoperative physiologic assessment with a cardiovascular evaluation and spirometry. After 15 minutes of one lung ventilation, the pulmonary shunt is evaluated. Therefore, all clinical variable evaluated during preoperative assessment will be compared with the pulmonary shunt

Trial Locations

Locations (1)

Azienda Ospedaliero Universitaria Sant'Anna

🇮🇹

Ferrara, Italy

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