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Preconditioning of One-lung Ventilation

Not Applicable
Completed
Conditions
One Lung Ventilation
Interventions
Other: One-lung ventilation
Registration Number
NCT03282032
Lead Sponsor
Seoul National University Hospital
Brief Summary

To observe the effect of one-lung ventilation (OLV) preconditioning on perioperative oxygenation during thoracic surgery.

Detailed Description

For lung isolation and better surgical view, one-lung ventilation(OLV) is essential for thoracic surgery. However, OLV may cause serious pulmonary complications due to intraoperative hypoxia.

Animal studies showed a positive effect of OLV preconditioning (Intermittent OLV before surgical intervention) on perioperative pulmonary oxygenation.

Thus, we designed a study to observe the effect of OLV preconditioning on perioperative oxygenation during thoracic surgery

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
136
Inclusion Criteria
  • Elective thoracic surgery which requires one-lung ventilation with lateral decubitus position
Exclusion Criteria
  • Patients with severe cardiopulmonary disease, COPD, previous surgical history of pulmonary disease
  • Thoracic surgery for pneumonectomy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
One-lung ventilationOne-lung ventilationBefore surgical incision, 2-min of OLV followed by 2-min of TLV (1 cycle) is performed for 5 cycles.
Primary Outcome Measures
NameTimeMethod
P/F ratio30min after surgical incision

PaO2/FIO2 ratio

Incidence of hypoxemiaduring one-lung ventilation, up to 5 hours

SpO2 \< 95%

Secondary Outcome Measures
NameTimeMethod
Pulmonary complications6, 24, 48 hours after surgery, during hospital stay.

Acute lung injury, acute respiratory distress syndrome, atelectasis, pneumonia

Trial Locations

Locations (1)

Seoul National University Hospital

🇰🇷

Seoul, Korea, Republic of

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