The Application of Lung Ultrasound Combine With Diaphragm Ultrasound During Thoracic Surgery
The Perioperative Application of Lung Ultrasound Combine With Diaphragm Ultrasound In One-lung Ventilation During Thoracic Surgery
Perioperative lung-protective strategies had been advocated in one-lung ventilation but normal respiratory functions were yet impacted during videoassisted thoracoscopic(VATS) surgery.
The primary aim of this study was to investigate respiratory complications after OLVby using bedside lung ultrasonography combine with diaphragmatic ultrasonography.
研究概览
详细说明
Perioperative lung-protective strategies had been advocated in One-lung Ventilation(OLV) of videoassisted thoracoscopic(VATS) surgery but normal respiratory functions were yet impacted during general anesthesia, mechanical ventilation, loss of respiratory muscle tone and intrathoracic surgery.
Lung ultrasonography has been confirmed to be a available tool for rapid confirming atelectasis, pleural effusion , pneumonia and pneumothorax.
Diaphragmatic excursion were well correlated with vital capacity by lung function testing and diaphragmatic ultrasound imaging was demonstrated accurately to identify atrophy and impaired contractility or motion of the diaphragm.The primary aim of this present study was to investigate respiratory complications after OLV in the postoperative period by using bedside lung ultrasonography.The secondary aim was to evaluate the variation of lung ventilation during thoracoscopic surgery through lung ultrasonography combine with diaphragm ultrasound and assess the accuracy of ultrasound to confirm proper endobronchial intubation.
研究类型
观察性的
注册 (预期的)
80
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Zhejiang
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Hangzhou、Zhejiang、中国、310000
- 招聘中
- The Second Affiliated Hospital of Zhejiang University
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接触：
- Chen Xie
- 电话号码：13252017900 13252017900
- 邮箱：1228617258@qq.com
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 至 80年 (成人、年长者)
接受健康志愿者
不
有资格学习的性别
全部
取样方法
概率样本
研究人群
Patients scheduled for elective thoracoscopic surgery of OLV and over 18 years of age were included in the present study if they screened for the inclusion criteria.
Patients were excluded if there were noncooperate from schizophrenia or delirium, a body mass index(BMI) higher than 40 kg/m2, a history of respiratory infection, chronic obstructive pulmonary disease(COPD), Chronic Heart Disease(CHD).
Those received brachial plexus nerve block or general anesthesia within 2 weeks before surgery were also excluded.
Former thoracic procedures (e.g.,thoracotomy, thoracoscopy or thoracic drain) were either criterions for exclusion.
描述
Inclusion Criteria:
- scheduled for elective thoracoscopic surgery of OLV, over 18 years of age
Exclusion Criteria:
- noncooperate from schizophrenia or delirium, a BMI higher than 40 kg/m2, a history of respiratory infection, a history of chronic obstructive pulmonary disease(COPD), a history of Chronic Heart Disease(CHD), received brachial plexus nerve block or general anesthesia within 2 weeks before surgery , received former thoracic procedures (e.g.,thoracotomy, thoracoscopy or thoracic drain)
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
|
Rate of respiratory complications after one-lung ventiltion(OLV) in the postoperative period by using bedside lung ultrasonography
大体时间：15 minutes after tracheal extubation
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15 minutes after tracheal extubation
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次要结果测量
结果测量 |
大体时间 |
|---|---|
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The variation of lung ventilation during thoracoscopic surgery through lung ultrasound combined with diaphragm ultrasound
大体时间：before induction, 5 minutes after intubation, 5 minutes after surgery,15 minutes after tracheal extubation
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before induction, 5 minutes after intubation, 5 minutes after surgery,15 minutes after tracheal extubation
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其他结果措施
结果测量 |
大体时间 |
|---|---|
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Accuracy of Lung ultrasound in confirming proper endobronchial intubation
大体时间：5 minutes after one- lung ventilation
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5 minutes after one- lung ventilation
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2019年1月10日
初级完成 (预期的)
2019年3月1日
研究完成 (预期的)
2019年5月1日
研究注册日期
首次提交
2019年1月2日
首先提交符合 QC 标准的
2019年1月10日
首次发布 (实际的)
2019年1月14日
研究记录更新
最后更新发布 (实际的)
2019年2月20日
上次提交的符合 QC 标准的更新
2019年2月18日
最后验证
2019年1月1日
更多信息
与本研究相关的术语
其他研究编号
- 2018-185
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)？
不
药物和器械信息、研究文件
研究美国 FDA 监管的药品
不
研究美国 FDA 监管的设备产品
不
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