Patients at high risk of post-operative pulmonary complications (PPC) will be screened out from gynecological tumor patients undergoing surgical treatment, and randomly assigned into the HFNC group and control group, which uses conventional nasal cannula oxygen therapy. The primary outcome is the incidence of PPC, including postoperative hypoxemia, atelectasis, pneumonia, etc. Secondary outcomes are the improvement of postoperative oxygenation, antibiotic use, length of hospital stay, adverse events related to oxygen therapy, etc.
This randomized con aims to enroll patients at high risk of developing post-operative pulmonary complications after gynecological surgery, the eligible patients will be randomly assigned to receive oxygen therapy via high-flow nasal cannula or conventional nasal cannula. The study primary outcome is the incidence of post-operative pulmonary complications, including postoperative hypoxemia, atelectasis, pneumonia, etc. Secondary outcomes are the improvement of postoperative oxygenation, antibiotic use, length of hospital stay, adverse events related to oxygen therapy, etc.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
200
HFNC can accurately provide 21% \~ 100% oxygen concentration through air oxygen mixer. And through the heating and humidification device to provide 37℃, relative humidity of 100% gas, the maximum flow of 70L/min.
Nasal cannula oxygen has become a routine part of postoperative treatment
Sichuan Cancer Hospital and Research Institute
Chengdu, Sichuan, China
RECRUITINGPostoperative pulmonary complication
The primary outcome measures were the incidence of PPC in the treatment group and the control group, including the incidence of postoperative hypoxemia, atelectasis, pneumonia, etc.
Time frame: 7 days after the surgery
Total Hospitalization days
Postoperative Hospitalization Days and ICU Stay Days
Time frame: 7 days after the surgery
Oxygen therapy
The Need for Oxygen Therapy
Time frame: 2 days after the surgery
Antibiotics
The use of antibiotics, including the type, usage, use time, etc.
Time frame: 7 days after the surgery
Postoperative oxygenation
Improvement of Postoperative Oxygenation
Time frame: 2 days after the surgery
Adverse events
Adverse events Associated with Oxygen Therapy
Time frame: 2 days after the surgery
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