Tubeless Tracheal and Carinal Reconstruction

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorShuben Li

About this trial

In recent year, non-intubated anesthesia had emerged as an available alternative for thoracic procedure. Whether non-intubated tracheal/carinal reconstruction confers distinct perioperative advantages over the conventional intubated approach remains uncertain. The purpose of this study was to evaluate the safety and perioperative outcomes of non-intubated versus intubated approaches in tracheal and carinal reconstruction.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Airway diseases were diagnosed by chest enhanced CT and bronchoscopy

The patients with age ≥ 18 and ≤ 80 years old

ASA (American Society of Anesthesiologists) stage: I-III

sign the informed consent. -

Disqualifiers

The patients have proved history of congestive heart failure, angina without good control with medicine; ECG-proved penetrating myocardial infarction; hypertension with bad control; valvulopathy with clinical significance; arrhythmia with high risk and out of control

The patients have severe systematic intercurrent disease, such as active infection or poorly controlled diabetes; coagulation disorders; hemorrhagic tendency or under treatment of thrombolysis or anticoagulant therapy

Airway anatomical abnormalities due to a history of surgery

Patients present with other malignancy

Trial design

Design model

Parallel

Treatments tested in this trial

  • non-intubated tracheal and carinal reconstruction

    Procedure/Surgery

    non-intubated tracheal and carinal reconstruction

  • intubated tracheal and carinal reconstruction

    Procedure/Surgery

    intubated tracheal and carinal reconstruction

Treatment groups

176 Participants
are divided into 2 treatment groups
Group A: Non-intubated groupExperimental treatment 1 intervention
Group B: Intubated groupActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Conversion rate

The rate of conversion to intubated approach in the operation

Time frame
postoperative in-hospital stay up to 30 days
2

Postoperative complications rate

Number and severity of adverse events that are related to the treatment of each patient. Postoperative treatment-related complications were assessed by the Clavien-Dindo Classification. Treatment-related adverse events as assessed by CTCAE v5.0.

Time frame
postoperative in-hospital stay up to 30 days

Secondary outcomes

1

Operative time

Operative time was defined as the time between the start of the surgery (incision) and the finish of surgery (closure of the skin).

Time frame
postoperative in-hospital stay up to 30 days
2

Length of stay (LOS)

Length of stay is the duration for enrolled patients until the date of meeting the criteria of hospital discharge since the date of surgery.

Time frame
postoperative in-hospital stay up to 30 days
3

Postoperative ICU stay

Postoperative hospital stay is the duration for each patients until the date of meeting the criteria of ICU discharge since the date of surgery.

Time frame
postoperative in-hospital stay up to 30 days
4

Intraoperative bleeding loss

blood loss in the operation

Time frame
postoperative in-hospital stay up to 30 days

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Shuben Li

Lead sponsor

The First Affiliated Hospital of Guangzhou Medical University

Sponsor institution