Comparison of efficacy and safety of different suction pressure for speeding non-ventilated lung collapse in uniport video-assisted thoracoscopic surgery: a randomized-controlled trial

The bronchial suction has been applied in speeding lung collapse. Low suction pressure may not speed lung collapse, but high pressure causes occult lung injury. The aim of the study was to explore efficacy and safety of different suction pressure for speeding lung collapse. Eighty-four subjects unde...

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Published inBMC surgery Vol. 24; no. 1; pp. 247 - 10
Main Authors Li, Yulin, Huang, Haihui, Hang, Lihua
Format Journal Article
LanguageEnglish
Published England BioMed Central Ltd 03.09.2024
BioMed Central
BMC
Subjects
Adult
Aged
Bronchial blockers
Clinical trials
Comparative analysis
Effectiveness
Female
General anesthesia
High pressure
Humans
Hypoxemia
Injuries
Injury analysis
Lung collapse
Lung diseases
Lungs
Male
Middle Aged
One-lung ventilation
Patients
Pressure
Pulmonary Atelectasis - etiology
Pulmonary Atelectasis - prevention & control
Suction
Suction - methods
Suctioning
Surgeons
Surgery
Thoracic surgery
Thoracic Surgery, Video-Assisted - methods
Treatment Outcome
Ventilators
Video-assisted thoracic surgery
Bronchial blockers
One-lung ventilation
Suction
Lung collapse
Video-assisted thoracic surgery
Online AccessGet full text
ISSN1471-2482
1471-2482
DOI10.1186/s12893-024-02539-4

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Abstract The bronchial suction has been applied in speeding lung collapse. Low suction pressure may not speed lung collapse, but high pressure causes occult lung injury. The aim of the study was to explore efficacy and safety of different suction pressure for speeding lung collapse. Eighty-four subjects undergoing uniport video-assisted thoracoscopic surgery (VATS) were randomly assigned for non-suction (Group 0), -10 cmH O suction pressure (Group - 10), and - 30 cmH O suction pressure (Group - 30). The primary outcome were the lung collapse scores (LCS) at 0 min (T ) after the visualization of the lung using a 10-point visual analogue scale and area under the curve (AUC) of LCS over time. The secondary outcomes included disconnection from the ventilator, the assessment of occult lung injury using NOS-3 expression, histologic scores of lung injury, and lung W/D weight ratio, intraoperative hypoxemia, the incidence of perioperative pulmonary complications. Both the LCS at T and AUC analysis showed that compared with Group 0, Group - 10 and Group - 30 significantly achieved good lung collapse (P < 0.05), but no difference between Group - 10 and Group - 30. Four patients in Group 0 were treated with disconnection maneuver. The assessment of occult lung injury showed no differences. Applying - 10 cmH O suction pressure for 1 min when pleural incision is a relatively safe method to promote lung collapse without the occurrence of occult lung injury. Chinese Clinical Trial Registry number, ChiCTR2200062991. Registered on 26/08/2022.
AbstractList The bronchial suction has been applied in speeding lung collapse. Low suction pressure may not speed lung collapse, but high pressure causes occult lung injury. The aim of the study was to explore efficacy and safety of different suction pressure for speeding lung collapse. Eighty-four subjects undergoing uniport video-assisted thoracoscopic surgery (VATS) were randomly assigned for non-suction (Group 0), -10 cmH O suction pressure (Group - 10), and - 30 cmH O suction pressure (Group - 30). The primary outcome were the lung collapse scores (LCS) at 0 min (T ) after the visualization of the lung using a 10-point visual analogue scale and area under the curve (AUC) of LCS over time. The secondary outcomes included disconnection from the ventilator, the assessment of occult lung injury using NOS-3 expression, histologic scores of lung injury, and lung W/D weight ratio, intraoperative hypoxemia, the incidence of perioperative pulmonary complications. Both the LCS at T and AUC analysis showed that compared with Group 0, Group - 10 and Group - 30 significantly achieved good lung collapse (P < 0.05), but no difference between Group - 10 and Group - 30. Four patients in Group 0 were treated with disconnection maneuver. The assessment of occult lung injury showed no differences. Applying - 10 cmH O suction pressure for 1 min when pleural incision is a relatively safe method to promote lung collapse without the occurrence of occult lung injury. Chinese Clinical Trial Registry number, ChiCTR2200062991. Registered on 26/08/2022.
Abstract Background The bronchial suction has been applied in speeding lung collapse. Low suction pressure may not speed lung collapse, but high pressure causes occult lung injury. The aim of the study was to explore efficacy and safety of different suction pressure for speeding lung collapse. Methods Eighty-four subjects undergoing uniport video-assisted thoracoscopic surgery (VATS) were randomly assigned for non-suction (Group 0), -10 cmH2O suction pressure (Group − 10), and − 30 cmH2O suction pressure (Group − 30). The primary outcome were the lung collapse scores (LCS) at 0 min (T0) after the visualization of the lung using a 10-point visual analogue scale and area under the curve (AUC) of LCS over time. The secondary outcomes included disconnection from the ventilator, the assessment of occult lung injury using NOS-3 expression, histologic scores of lung injury, and lung W/D weight ratio, intraoperative hypoxemia, the incidence of perioperative pulmonary complications. Results Both the LCS at T0 and AUC analysis showed that compared with Group 0, Group − 10 and Group − 30 significantly achieved good lung collapse (P < 0.05), but no difference between Group − 10 and Group − 30. Four patients in Group 0 were treated with disconnection maneuver. The assessment of occult lung injury showed no differences. Conclusions Applying − 10 cmH2O suction pressure for 1 min when pleural incision is a relatively safe method to promote lung collapse without the occurrence of occult lung injury. Trial registration Chinese Clinical Trial Registry number, ChiCTR2200062991. Registered on 26/08/2022.
The bronchial suction has been applied in speeding lung collapse. Low suction pressure may not speed lung collapse, but high pressure causes occult lung injury. The aim of the study was to explore efficacy and safety of different suction pressure for speeding lung collapse. Eighty-four subjects undergoing uniport video-assisted thoracoscopic surgery (VATS) were randomly assigned for non-suction (Group 0), -10 cmH.sub.2O suction pressure (Group - 10), and - 30 cmH.sub.2O suction pressure (Group - 30). The primary outcome were the lung collapse scores (LCS) at 0 min (T.sub.0) after the visualization of the lung using a 10-point visual analogue scale and area under the curve (AUC) of LCS over time. The secondary outcomes included disconnection from the ventilator, the assessment of occult lung injury using NOS-3 expression, histologic scores of lung injury, and lung W/D weight ratio, intraoperative hypoxemia, the incidence of perioperative pulmonary complications. Both the LCS at T.sub.0 and AUC analysis showed that compared with Group 0, Group - 10 and Group - 30 significantly achieved good lung collapse (P < 0.05), but no difference between Group - 10 and Group - 30. Four patients in Group 0 were treated with disconnection maneuver. The assessment of occult lung injury showed no differences. Applying - 10 cmH.sub.2O suction pressure for 1 min when pleural incision is a relatively safe method to promote lung collapse without the occurrence of occult lung injury.
The bronchial suction has been applied in speeding lung collapse. Low suction pressure may not speed lung collapse, but high pressure causes occult lung injury. The aim of the study was to explore efficacy and safety of different suction pressure for speeding lung collapse.BACKGROUNDThe bronchial suction has been applied in speeding lung collapse. Low suction pressure may not speed lung collapse, but high pressure causes occult lung injury. The aim of the study was to explore efficacy and safety of different suction pressure for speeding lung collapse.Eighty-four subjects undergoing uniport video-assisted thoracoscopic surgery (VATS) were randomly assigned for non-suction (Group 0), -10 cmH2O suction pressure (Group - 10), and - 30 cmH2O suction pressure (Group - 30). The primary outcome were the lung collapse scores (LCS) at 0 min (T0) after the visualization of the lung using a 10-point visual analogue scale and area under the curve (AUC) of LCS over time. The secondary outcomes included disconnection from the ventilator, the assessment of occult lung injury using NOS-3 expression, histologic scores of lung injury, and lung W/D weight ratio, intraoperative hypoxemia, the incidence of perioperative pulmonary complications.METHODSEighty-four subjects undergoing uniport video-assisted thoracoscopic surgery (VATS) were randomly assigned for non-suction (Group 0), -10 cmH2O suction pressure (Group - 10), and - 30 cmH2O suction pressure (Group - 30). The primary outcome were the lung collapse scores (LCS) at 0 min (T0) after the visualization of the lung using a 10-point visual analogue scale and area under the curve (AUC) of LCS over time. The secondary outcomes included disconnection from the ventilator, the assessment of occult lung injury using NOS-3 expression, histologic scores of lung injury, and lung W/D weight ratio, intraoperative hypoxemia, the incidence of perioperative pulmonary complications.Both the LCS at T0 and AUC analysis showed that compared with Group 0, Group - 10 and Group - 30 significantly achieved good lung collapse (P < 0.05), but no difference between Group - 10 and Group - 30. Four patients in Group 0 were treated with disconnection maneuver. The assessment of occult lung injury showed no differences.RESULTSBoth the LCS at T0 and AUC analysis showed that compared with Group 0, Group - 10 and Group - 30 significantly achieved good lung collapse (P < 0.05), but no difference between Group - 10 and Group - 30. Four patients in Group 0 were treated with disconnection maneuver. The assessment of occult lung injury showed no differences.Applying - 10 cmH2O suction pressure for 1 min when pleural incision is a relatively safe method to promote lung collapse without the occurrence of occult lung injury.CONCLUSIONSApplying - 10 cmH2O suction pressure for 1 min when pleural incision is a relatively safe method to promote lung collapse without the occurrence of occult lung injury.Chinese Clinical Trial Registry number, ChiCTR2200062991. Registered on 26/08/2022.TRIAL REGISTRATIONChinese Clinical Trial Registry number, ChiCTR2200062991. Registered on 26/08/2022.
Background The bronchial suction has been applied in speeding lung collapse. Low suction pressure may not speed lung collapse, but high pressure causes occult lung injury. The aim of the study was to explore efficacy and safety of different suction pressure for speeding lung collapse. Methods Eighty-four subjects undergoing uniport video-assisted thoracoscopic surgery (VATS) were randomly assigned for non-suction (Group 0), -10 cmH.sub.2O suction pressure (Group - 10), and - 30 cmH.sub.2O suction pressure (Group - 30). The primary outcome were the lung collapse scores (LCS) at 0 min (T.sub.0) after the visualization of the lung using a 10-point visual analogue scale and area under the curve (AUC) of LCS over time. The secondary outcomes included disconnection from the ventilator, the assessment of occult lung injury using NOS-3 expression, histologic scores of lung injury, and lung W/D weight ratio, intraoperative hypoxemia, the incidence of perioperative pulmonary complications. Results Both the LCS at T.sub.0 and AUC analysis showed that compared with Group 0, Group - 10 and Group - 30 significantly achieved good lung collapse (P < 0.05), but no difference between Group - 10 and Group - 30. Four patients in Group 0 were treated with disconnection maneuver. The assessment of occult lung injury showed no differences. Conclusions Applying - 10 cmH.sub.2O suction pressure for 1 min when pleural incision is a relatively safe method to promote lung collapse without the occurrence of occult lung injury. Trial registration Chinese Clinical Trial Registry number, ChiCTR2200062991. Registered on 26/08/2022. Keywords: Video-assisted thoracic surgery, One-lung ventilation, Bronchial blockers, Lung collapse, Suction
BackgroundThe bronchial suction has been applied in speeding lung collapse. Low suction pressure may not speed lung collapse, but high pressure causes occult lung injury. The aim of the study was to explore efficacy and safety of different suction pressure for speeding lung collapse.MethodsEighty-four subjects undergoing uniport video-assisted thoracoscopic surgery (VATS) were randomly assigned for non-suction (Group 0), -10 cmH2O suction pressure (Group − 10), and − 30 cmH2O suction pressure (Group − 30). The primary outcome were the lung collapse scores (LCS) at 0 min (T0) after the visualization of the lung using a 10-point visual analogue scale and area under the curve (AUC) of LCS over time. The secondary outcomes included disconnection from the ventilator, the assessment of occult lung injury using NOS-3 expression, histologic scores of lung injury, and lung W/D weight ratio, intraoperative hypoxemia, the incidence of perioperative pulmonary complications.ResultsBoth the LCS at T0 and AUC analysis showed that compared with Group 0, Group − 10 and Group − 30 significantly achieved good lung collapse (P < 0.05), but no difference between Group − 10 and Group − 30. Four patients in Group 0 were treated with disconnection maneuver. The assessment of occult lung injury showed no differences.ConclusionsApplying − 10 cmH2O suction pressure for 1 min when pleural incision is a relatively safe method to promote lung collapse without the occurrence of occult lung injury.Trial registrationChinese Clinical Trial Registry number, ChiCTR2200062991. Registered on 26/08/2022.
ArticleNumber 247
Audience Academic
Author Huang, Haihui
Hang, Lihua
Li, Yulin
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CitedBy_id crossref_primary_10_1186_s12871_025_02899_1
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Issue 1
Keywords Bronchial blockers
One-lung ventilation
Suction
Lung collapse
Video-assisted thoracic surgery
Language English
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Snippet The bronchial suction has been applied in speeding lung collapse. Low suction pressure may not speed lung collapse, but high pressure causes occult lung...
Background The bronchial suction has been applied in speeding lung collapse. Low suction pressure may not speed lung collapse, but high pressure causes occult...
BackgroundThe bronchial suction has been applied in speeding lung collapse. Low suction pressure may not speed lung collapse, but high pressure causes occult...
Abstract Background The bronchial suction has been applied in speeding lung collapse. Low suction pressure may not speed lung collapse, but high pressure...
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StartPage 247
SubjectTerms Adult
Aged
Bronchial blockers
Clinical trials
Comparative analysis
Effectiveness
Female
General anesthesia
High pressure
Humans
Hypoxemia
Injuries
Injury analysis
Lung collapse
Lung diseases
Lungs
Male
Middle Aged
One-lung ventilation
Patients
Pressure
Pulmonary Atelectasis - etiology
Pulmonary Atelectasis - prevention & control
Suction
Suction - methods
Suctioning
Surgeons
Surgery
Thoracic surgery
Thoracic Surgery, Video-Assisted - methods
Treatment Outcome
Ventilators
Video-assisted thoracic surgery
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Title Comparison of efficacy and safety of different suction pressure for speeding non-ventilated lung collapse in uniport video-assisted thoracoscopic surgery: a randomized-controlled trial
URI https://www.ncbi.nlm.nih.gov/pubmed/39227846
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