A Randomized Controlled Study Compare Lung Ultrasonography to Fiberoptic Bronchoscopy Confirming Double Lumen Tube Positioning for Thoracic Surgery.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- Number of Patients of Lung Collapse in Ultrasonography and Fiberoptic Bronchoscopy
研究概览
简要总结
The study contains the result from a comparison of diagnostic outcomes about lung collapse by using lung ultrasonography as a new diagnostic test compares to fiberoptic bronchoscopy as the standard test.
详细描述
The study contains the result from a comparison of diagnostic outcomes about lung collapse by using lung ultrasonography as a new diagnostic test compares to fiberoptic bronchoscopy as a standard test. Both of them detect lung collapse reported as surgical grading lung collapse by the thoracic surgeons. The protocol was performed in a randomized controlled trial whether the subject was allocated to the ultrasonography group or the fiberoptic bronchoscopy group.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- Triple (Participant, Care Provider, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult patients, age ≥18 years old
- •American Society of Anesthesiologists(ASA) physical status classification I - III
- •Scheduled for elective thoracic surgery which requires One lung ventilation(OLV) with Left-sided double lumen tube
排除标准
- •Anticipated difficult intubation or with the tracheostomy tube
- •Patient with pneumothorax, pleural effusion, emphysema or past history of pleurodesis
- •Patient with deranges pulmonary function test (out of forced expiration volume in 1 s, total lung capacity, forced vital capacity <50% of the predicted values)
- •The patient refuses to participate.
研究组 & 干预措施
Ultrasonography
Patients in this group receive lung ultrasonography to detect lung collapse after insert double lumen tube and finally compare lung collapse by the surgeon's visual grading scale of lung collapse when entering pleural cavity.
干预措施: Lung ultrasonography by experienced anaesthesiologist (Diagnostic Test)
Fiberoptic bronchoscopy
Patients in this group receive fiberoptic bronchoscope to detect lung collapse after inserting a double lumen tube and finally compare lung collapse by the surgeon's visual grading scale of lung collapse when entering the pleural cavity.
干预措施: Fiberoptic bronchoscopy for double lumen tube's position (Diagnostic Test)
结局指标
主要结局
Number of Patients of Lung Collapse in Ultrasonography and Fiberoptic Bronchoscopy
时间窗: 30 minutes
Compare number of patients with lung collapse detected by ultrasonography and fiberoptic bronchoscopy in patient with double lumen tube by report as specificity and sensitivity of detection of lung collapse by compare to visual grading of lung collapse by surgeon
次要结局
- Timing to Detect Lung Collapse(30 minutes)
- Accuracy of Detection of Lung Collapse in Ultrasonography Method in Cardiovascular and Thoracic Anesthesia Fellow(30 minutes)