[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"thoracic-surgery-video-assisted\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:thoracic-surgery-video-assisted":72},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,9,0,[8,55,81,115,151,179,202,231,262],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":16,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":34,"overallStatus":42,"whyStopped":4,"lastUpdateSubmitDate":43,"lastUpdatePostDateStruct":44,"startDateStruct":47,"completionDateStruct":49,"leadSponsor":51,"locationsCount":54},"100641870","brief-bronchial-suction-for-lung-collapse-during-uniportal-vats-100641870",false,"NCT07660588","Brief Bronchial Suction for Lung Collapse During Uniportal VATS","Effect of Brief Bronchial Suction on the Quality of Non-Ventilated Lung Collapse and Time to Adequate Surgical Exposure During Uniportal Video-Assisted Thoracoscopic Surgery: a Randomized Patient- and Surgeon-Blinded Trial","Inclusion Criteria:\n\n* Age ≥ 18 years old\n* BMI ≤ 35 kg\u002Fm2\n* American Society of Anesthesiologists (ASA) physical status I to III\n* Scheduled for elective single-port video-assisted thoracoscopic surgery (VATS) at Siriraj Hospital\n* Requirement for one-lung ventilation using a double-lumen tube (DLT)\n* Surgery performed in the lateral decubitus position\n* Ability to provide written informed consent\n\nExclusion Criteria:\n\n* Previous thoracic surgery\n* Known or suspected severe pleural adhesions based on preoperative imaging or clinical history\n* Tracheobronchial anatomical abnormalities\n* Pulmonary bullae identified on chest radiography or computed tomography, or a history of recurrent pneumothorax\n* Forced vital capacity (FVC) \\\u003C 50% of predicted\n* Pregnancy",true,"ALL","18 Years",{"count":20,"type":21},100,"ESTIMATED","INTERVENTIONAL",[24],"NA","The goal of this clinical trial is to learn whether a brief suction of the airway going to the surgical lung (bronchus) can help the lung collapse faster and more completely during uniportal video-assisted thoracoscopic surgery (UVATS). This type of surgery is performed through a small incision in the chest, and good lung collapse helps the surgeon see and work safely. The main questions it aims to answer are\n\n1. Does brief bronchial suction improve the quality of lung collapse 1 minute after chest cavity is opened?\n2. Does brief bronchial suction help reach satisfactory lung collapse faster?\n\nResearchers will compare patients who receive brief bronchial suction and those who do not. This is to see if suction improves and fastens lung collapse, reduce the need for additional steps if lung is not adequately collapsed, affect inflammation, oxygenation, postoperative pulmonary complications, operative time, and the duration of one-lung ventilation. Participants will\n\n1. Undergo UVATS under general anesthesia\n2. Have a double-lumen breathing tube placed as part of the standard anesthetic care\n3. Be randomly assigned to either receive bronchial suction for one minute or receive no bronchial suction\n4. Have the surgical team assess the quality of lung collapse at different time points\n5. Have blood samples taken for interleukin-6, a marker related to inflammation, once during and once after surgery. These samples are collected through a small tube in a vein that is placed as a standard anesthetic care while the participant is under general anesthesia. No extra puncture is required for blood collection.\n6. Have information collected from the routine anesthesia and surgical records such as oxygen levels during surgery, length of surgery and lung-related complications within 7 days after surgery",[27,28,29,30,31,32,33],"Lung Collapse","One-lung Ventilation","Thoracic Anesthesia","Thoracic Surgery, Video-assisted","Double-lumen Tube","Uniportal Video Assisted Thoracic Surgery (U-VATS)","Postoperative Pulmonary Complications",[35,36,37,38,39,40,41],"uniportal VATS","UVATS","bronchial suction","lung collapse","one-lung ventilation","double-lumen tube","thoracic anesthesia","NOT_YET_RECRUITING","2026-06-16",{"date":45,"type":46},"2026-06-22","ACTUAL",{"date":48,"type":21},"2026-08",{"date":50,"type":21},"2028-07",{"name":52,"class":53},"Mahidol University","OTHER",1,{"id":56,"slug":57,"hasResults":11,"nctId":58,"briefTitle":59,"officialTitle":60,"acronym":4,"eligibilityCriteria":61,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":62,"enrollmentInfo":63,"targetDuration":4,"studyType":22,"phases":65,"briefSummary":66,"conditions":67,"keywords":4,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":74,"lastUpdatePostDateStruct":75,"startDateStruct":76,"completionDateStruct":77,"leadSponsor":79,"locationsCount":54},"100642944","comparison-of-the-rhomboid-intercostal-block-and-serratus-posterior-superior-intercostal-plane-block-100642944","NCT07650877","Comparison of the Rhomboid Intercostal Block and Serratus Posterior Superior Intercostal Plane Block","Comparison of the Effects of Ultrasound-Guided Rhomboid Intercostal Block and Serratus Posterior Superior Intercostal Plane Block on Postoperative Acute Pain in Patients Undergoing Video-Assisted Thoracoscopic Surgery","Inclusion Criteria:\n\n* Patients undergoing elective VATS\n* Patients aged 18-75 years\n* Patients with ASA (American Society of Anesthesiologists) class I-III\n* Patients who have given informed consent\n\nExclusion Criteria:\n\n* Patients allergic to local anesthetics\n* Patients with bleeding disorders or those undergoing anticoagulant therapy\n* Pregnant and breastfeeding women\n* Patients with impaired consciousness, inability to communicate, or mental\u002Fcognitive impairment\n* Patients who refuse block application\n* Patients with infection in the area where the block will be applied","75 Years",{"count":64,"type":21},90,[24],"Video-assisted thoracic surgery (VATS) is widely performed for the management of various thoracic pathologies and is generally associated with reduced surgical trauma compared with open thoracotomy. Nevertheless, patients may still experience considerable postoperative pain, which can adversely affect respiratory function, mobilization, and recovery. Various regional analgesic techniques have been incorporated into multimodal pain management strategies for VATS, including thoracic paravertebral block (TPVB), erector spinae plane block (ESPB), intercostal nerve block, serratus anterior plane block (SAPB), rhomboid intercostal block (RIB), and serratus posterior superior intercostal plane block (SPSIPB). Among these approaches, ultrasound-guided TPVB has traditionally been regarded as a reference regional analgesic technique. More recently, interfascial plane blocks have gained increasing attention because of their technical simplicity and favorable safety profile. RIB and SPSIPB are two novel interfascial plane blocks that may provide effective postoperative analgesia following thoracic surgery. The present study aims to compare the analgesic efficacy of RIB and SPSIPB in patients undergoing VATS and to evaluate their impact on postoperative pain outcomes.",[68,69,70,71,72],"Pain, Postoperative","Multimodal Analgesia","Rhomboid Intercostal Block","Serratus Posterior Superior Intercostal Plane Block","Thoracic Surgery, Video-Assisted","RECRUITING","2026-06-15",{"date":43,"type":46},{"date":74,"type":46},{"date":78,"type":21},"2026-11-30",{"name":80,"class":53},"Ankara City Hospital Bilkent",{"id":82,"slug":83,"hasResults":11,"nctId":84,"briefTitle":85,"officialTitle":86,"acronym":87,"eligibilityCriteria":88,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":89,"enrollmentInfo":90,"targetDuration":91,"studyType":92,"phases":4,"briefSummary":93,"conditions":94,"keywords":100,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":107,"lastUpdatePostDateStruct":108,"startDateStruct":109,"completionDateStruct":111,"leadSponsor":113,"locationsCount":54},"100615091","target-controlled-infusion-tci-vs-inhalational-anesthesia-in-video-assisted-thoracoscopic-surgery-vats-100615091","NCT07288099","Target-Controlled Infusion (TCI) vs Inhalational Anesthesia in Video-Assisted Thoracoscopic Surgery (VATS)","Prospective Observational Cohort Study Comparing Recovery Profiles After Target-Controlled Infusion Versus Inhalational Anesthesia in Video-Assisted Thoracoscopic Surgery","TCI-INHALE","Inclusion Criteria:\n\n* Adults aged 18 to 65 years\n\nPatients scheduled for elective video-assisted thoracoscopic surgery (VATS)\n\nASA physical status I-III\n\nAble to provide informed consent\n\nPlanned postoperative recovery in PACU and surgical ward\n\nExclusion Criteria:\n\n* ASA IV or higher\n\nHemodynamic or respiratory instability before surgery\n\nKnown allergy or contraindication to commonly used anesthetic agents\n\nNeurological or psychiatric conditions that may interfere with recovery assessment\n\nEmergency surgeries\n\nPatients who decline participation","80 Years",{"count":20,"type":21},"1 Day","OBSERVATIONAL","This study is designed as a prospective observational cohort to evaluate recovery after video-assisted thoracoscopic surgery (VATS). In our clinic, anesthesia for VATS is commonly provided either with target-controlled infusion (TCI) or with inhalational agents, depending on the routine practice of the anesthesiologist. No randomization or additional intervention will be performed.\n\nDuring the study period, patients who receive either method as part of standard care will be followed, and perioperative and postoperative data will be recorded. Awakening time, extubation time, Aldrete score progression, pain levels, and early postoperative complications will be compared between the two groups. The aim is to better understand how these widely used anesthesia techniques may influence recovery in VATS patients and to support future clinical decision-making.",[95,96,97,98,99],"Video-assisted Thoracoscopic Surgery (VATS)","Thoracic Surgery, Video Assisted","Postoperative Recovery","General Anesthesia","Anesthesia Techniques",[101,102,103,104,105,97,106],"Video-Assisted Thoracoscopic Surgery","VATS","Thoracic Surgery","Target-Controlled Infusion","Inhalational Anesthesia","Extubation Time","2026-06-12",{"date":74,"type":46},{"date":110,"type":46},"2026-01-12",{"date":112,"type":21},"2026-07",{"name":114,"class":53},"Istanbul University - Cerrahpasa",{"id":116,"slug":117,"hasResults":11,"nctId":118,"briefTitle":119,"officialTitle":120,"acronym":4,"eligibilityCriteria":121,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":89,"enrollmentInfo":122,"targetDuration":4,"studyType":22,"phases":124,"briefSummary":125,"conditions":126,"keywords":131,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":141,"lastUpdatePostDateStruct":142,"startDateStruct":144,"completionDateStruct":146,"leadSponsor":148,"locationsCount":54},"100643654","comparison-of-iv-analgesia-protocols-after-the-regional-blocks-effect-diminishes-in-thoracic-surgery-100643654","NCT07610408","Comparison of IV Analgesia Protocols After the Regional Block's Effect Diminishes in Thoracic Surgery","Comparison of the Effectiveness of Intravenous Analgesia Protocols Used After the Duration of Block Action for Postoperative Pain Control in Thoracic Surgery","Inclusion Criteria:\n\n1. \\- Patients aged 18 to 80 years.\n2. \\- ASA (American Society of Anesthesiologists) Physical Status Score of I-III.\n3. \\- Body Mass Index (BMI) between 18 and 35 kg\u002Fm².\n4. \\- Undergoing elective thoracic surgery via Video-Assisted Thoracoscopic Surgery (VATS).\n5. \\- Voluntary participation confirmed by signing the written Informed Consent Form.\n\nExclusion Criteria:\n\n1. \\- Age below 18 or above 80 years.\n2. \\- Advanced organ failure (e.g., severe hepatic or renal impairment).\n3. \\- ASA physical status \\> III.\n4. \\- History of chronic pain treatment or long-term opioid use.\n5. \\- BMI \\\u003C 18 kg\u002Fm² or \\> 35 kg\u002Fm².\n6. \\- Pregnancy or breastfeeding.\n7. \\- Limited cooperation due to dementia or uncontrolled psychiatric disorders.\n8. \\- Communication barriers (inability to communicate in the native language).\n9. \\- History of substance or drug abuse.\n10. \\- Known allergy or contraindication to the study drugs (Fentanyl, Tramadol, or Ibuprofen).\n11. \\- Contraindication to regional block placement (e.g., infection at the injection site).",{"count":123,"type":21},135,[24],"The purpose of this study is to compare the effectiveness of three different intravenous (IV) patient-controlled analgesia (PCA) regimens-Fentanyl, Tramadol, and Ibuprofen-in managing postoperative pain and respiratory performance in patients undergoing Video-Assisted Thoracoscopic Surgery (VATS). While regional blocks like Erector Spinae Plane (ESP) block provide effective early analgesia, their effect typically diminishes after 8-12 hours, leading to potential 'rebound pain.' This study specifically investigates the period following the duration of the regional block's action. The primary goal is to evaluate which IV PCA protocol better controls pain (Visual Analog Scale scores) and supports better respiratory performance (measured by incentive spirometry) during the first 72 hours post-surgery",[127,128,96,129,130],"Postoperative Pain After Thoracic Surgery","Postoperative Pain","Patient Controlled Analgesia","Acute Pain",[101,102,132,133,134,135,136,137,138,139,140],"Erector Spinae Plane Block","ESP","Patient-Controlled Analgesia","PCA","IV analgesia","Incentive spirometry","Opioid-sparing","Postoperative pain after thoracic surgery","Rebound Pain","2026-06-06",{"date":143,"type":46},"2026-06-09",{"date":145,"type":46},"2026-06-02",{"date":147,"type":21},"2026-10-15",{"name":149,"class":150},"Ankara Etlik City Hospital","OTHER_GOV",{"id":152,"slug":153,"hasResults":11,"nctId":154,"briefTitle":155,"officialTitle":156,"acronym":4,"eligibilityCriteria":157,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":158,"enrollmentInfo":159,"targetDuration":4,"studyType":22,"phases":161,"briefSummary":162,"conditions":163,"keywords":166,"overallStatus":42,"whyStopped":4,"lastUpdateSubmitDate":170,"lastUpdatePostDateStruct":171,"startDateStruct":173,"completionDateStruct":175,"leadSponsor":177,"locationsCount":4},"100628764","ultrasound-guided-rhomboid-intercostal-block-versus-thoracic-paravertebral-block-for-vats-analgesia-100628764","NCT07465887","Ultrasound-Guided Rhomboid-Intercostal Block Versus Thoracic Paravertebral Block for VATS Analgesia","Comparison of the Ultrasound-Guided Rhomboid-Intercostal Block (RIB) Versus Thoracic Paravertebral Block (PVB) for Postoperative Analgesia in Video-Assisted Thoracoscopic Surgery (VATS): A Double-Blind Randomized Controlled Trial","Inclusion Criteria:\n\n* Adults (18-85 years old),\n* ASA physical status I-III\n* scheduled for elective 3-port unilateral VATS.\n\nExclusion Criteria:\n\n* Allergy to local anesthetics\n* infection at the injection site\n* coagulation disorders\n* severe neurological disorder\n* obesity (BMI \\> 35)\n* opioid addiction\n* conversion to open thoracotomy, admission to ICU.","85 Years",{"count":160,"type":21},60,[24],"Purpose of the study The goal of this research is to see which of two nerve-numbing techniques-the Rhomboid-Intercostal Block (RIB) or the Thoracic Paravertebral Block (PVB)-works better to control pain after chest surgery (specifically, video-assisted thoracoscopic surgery, or VATS). Both techniques use numbing medication to block pain signals after the operation.\n\nWho can participate? The researchers are looking for adults between 18 and 85 years old who are scheduled for a specific type of chest surgery (a 3-port VATS procedure).\n\nHow will the research happen? Participants will be put into two equal groups by chance. One group will receive the RIB technique, and the other group will receive the PVB technique. Both procedures are done under ultrasound guidance after the completion of surgery, while the patient is still asleep. The pain levels of the participants will be measured at rest and when taking deep breaths at several times during the first 24 hours after surgery.\n\nWhy is this study useful? This study aims to find out which pain relief method is more effective and if one results in fewer side effects, such as nausea or the need for stronger pain medications (opioids). These results will possibly help doctors provide better comfort to patients recovering from chest surgery in the future.",[128,103,96,164,165,70],"Ultrasound Guided","Paravertebral Thoracic Block",[102,167,165,168,169],"Rhomboid-intercostal Block","Regional Anesthesia","Postoperative Analgesia","2026-03-18",{"date":172,"type":46},"2026-03-20",{"date":174,"type":21},"2026-03-09",{"date":176,"type":21},"2027-03",{"name":178,"class":53},"Georgios Kotsovolis",{"id":180,"slug":181,"hasResults":11,"nctId":182,"briefTitle":183,"officialTitle":184,"acronym":4,"eligibilityCriteria":185,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":62,"enrollmentInfo":186,"targetDuration":4,"studyType":22,"phases":187,"briefSummary":188,"conditions":189,"keywords":190,"overallStatus":42,"whyStopped":4,"lastUpdateSubmitDate":193,"lastUpdatePostDateStruct":194,"startDateStruct":196,"completionDateStruct":198,"leadSponsor":200,"locationsCount":4},"100622735","effect-of-patient-position-on-erector-spinae-plane-block-in-thoracic-surgery-100622735","NCT07387484","Effect of Patient Position on Erector Spinae Plane Block in Thoracic Surgery","Effect of Patient Position on Dermatomal Spread and Analgesic Outcomes of Erector Spinae Plane Block in Thoracic Surgery: A Prospective Randomized Clinical Trial","Inclusion Criteria:\n\n* Age 18 to 75 years\n* ASA physical status II-IV\n* Scheduled for elective video-assisted thoracic surgery\n* Ability to provide written informed consent\n\nExclusion Criteria:\n\n* Known allergy to local anesthetics\n* Chronic opioid use\n* Preexisting chronic pain\n* Severe cognitive impairment\n* Technical difficulty with positioning\n* Emergency surgery\n* Refusal to participate",{"count":64,"type":21},[24],"The erector spinae plane (ESP) block is a widely used regional anesthesia technique for postoperative analgesia in thoracic surgery. The block can be performed in different patient positions, most commonly sitting or lateral decubitus, but the effect of patient position on dermatomal sensory spread and analgesic efficacy has not been clearly established.\n\nThis prospective, randomized, single-blind clinical trial aims to compare the effects of ESP block performed in sitting versus lateral decubitus position on dermatomal sensory distribution and postoperative analgesic outcomes in patients undergoing video-assisted thoracic surgery.",[96,128],[191,192],"video assisted thorachoscopic surgery","erector spinae plane block","2026-02-04",{"date":195,"type":46},"2026-02-06",{"date":197,"type":21},"2026-02",{"date":199,"type":21},"2026-05",{"name":201,"class":53},"Dr Abdurrahman Yurtaslan Ankara Oncology Training and Research Hospital",{"id":203,"slug":204,"hasResults":11,"nctId":205,"briefTitle":206,"officialTitle":207,"acronym":4,"eligibilityCriteria":208,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":62,"enrollmentInfo":209,"targetDuration":4,"studyType":22,"phases":211,"briefSummary":212,"conditions":213,"keywords":216,"overallStatus":42,"whyStopped":4,"lastUpdateSubmitDate":223,"lastUpdatePostDateStruct":224,"startDateStruct":225,"completionDateStruct":227,"leadSponsor":229,"locationsCount":54},"100622761","individualized-open-lung-ventilation-and-postoperative-pulmonary-complications-in-thoracic-surgery-100622761","NCT07387822","Individualized Open Lung Ventilation and Postoperative Pulmonary Complications in Thoracic Surgery","Effect of Individualized Versus Standardized Open-Lung Ventilation on Postoperative Pulmonary Complications in Thoracic Surgery: A Randomized Controlled Trial","Inclusion Criteria:\n\n* Age 18 to 75 years.\n* American Society of Anesthesiologists (ASA) physical status I-III.\n* Body mass index between 18 and 30 kg\u002Fm².\n* Scheduled for elective video-assisted thoracoscopic surgery (VATS).\n* Expected duration of one-lung ventilation longer than 1 hour.\n* Able to understand the study procedures and provide written informed consent.\n\nExclusion Criteria:\n\n* Pregnancy or breastfeeding.\n* Emergency surgery or reoperation.\n* History of severe pulmonary disease, including chronic obstructive pulmonary disease, pulmonary fibrosis, severe emphysema, pulmonary bullae, pneumothorax, or uncontrolled asthma.\n* History of heart failure or coronary artery disease.\n* Previous thoracic surgery or mechanical ventilation within 1 month before surgery.\n* Planned postoperative mechanical ventilation.\n* Bilateral thoracic surgery.\n* Participation in another interventional clinical trial.\n* Conversion to open thoracotomy during surgery.",{"count":210,"type":21},352,[24],"This prospective, single-center, randomized controlled trial aims to evaluate the efficacy of an intraoperative \"Individualized Open Lung Ventilation\" strategy compared to a standard lung-protective ventilation strategy in patients undergoing thoracic surgery.\n\nOne-lung ventilation (OLV) is essential for thoracic surgery but can cause lung injury. While standard care often uses fixed ventilation parameters, this study investigates whether personalizing Positive End-Expiratory Pressure (PEEP) to achieve the lowest driving pressure can reduce the incidence of postoperative pulmonary complications (PPCs) within 7 days after surgery.",[214,215,96],"Postoperative Pulmonary Complications (PPCs)","One-lung Ventilation (OLV)",[217,218,219,220,221,222],"Individualized Open Lung Ventilation","Driving Pressure","PEEP Titration","Lung Recruitment Maneuver","Lung Protective Ventilation","Video-Assisted Thoracic Surgery","2026-01-30",{"date":193,"type":46},{"date":226,"type":21},"2026-02-10",{"date":228,"type":21},"2026-05-10",{"name":230,"class":53},"Aerospace Center Hospital",{"id":232,"slug":233,"hasResults":11,"nctId":234,"briefTitle":235,"officialTitle":236,"acronym":4,"eligibilityCriteria":237,"healthyVolunteers":11,"sex":17,"minAge":238,"maxAge":4,"enrollmentInfo":239,"targetDuration":241,"studyType":92,"phases":4,"briefSummary":242,"conditions":243,"keywords":248,"overallStatus":42,"whyStopped":4,"lastUpdateSubmitDate":253,"lastUpdatePostDateStruct":254,"startDateStruct":256,"completionDateStruct":258,"leadSponsor":260,"locationsCount":4},"100621573","association-of-different-tidal-volumes-and-postoperative-pulmonary-complications-100621573","NCT07372378","Association of Different Tidal Volumes and Postoperative Pulmonary Complications","Association of Various Introperative Tidal Volumes and Postoperative Pulmonary Complications After Video-assisted Thoracic Surgery","Inclusion Criteria:\n\n* Age \\> 50 years.\n* ASA physical status I-II.\n* The cardiopulmonary and other vital organ functions are basically normal, and the patient is able to tolerate surgery.\n* Ariscat score \\> 26.\n* Informed consent has been obtained.\n\nExclusion Criteria:\n\n* Patients who refuse to participate in the clinical trial, or have cognitive impairment or impaired ability to understand and express themselves.\n* ASA physical status ≥ III.\n* Patients with congestive heart failure, severe aortic stenosis, or extensive pleural adhesions.\n* Patients with severe psychiatric disorders or allergy to anesthesia-related medications.\n* Patients with severe organ dysfunction such as the liver or kidney dysfunction.","51 Years",{"count":240,"type":21},650,"7 Days","The incidence of lung cancer in China is increasing year by year. Currently, the treatment primarily based on video-assisted thoracoscopic surgery (VATS) is still considered the optimal approach for early-stage non-small cell lung cancer. The widespread application of traditional one-lung ventilation (OLV) technology not only achieves effective lung isolation, but also facilitates exposure of the surgical field during thoracoscopic surgery, making it more convenient for surgeons to operate. However, the occurrence of hypoxemia during one-lung ventilation may pose a risk to patient safety.\n\nOne-lung ventilation can lead to increased intrapulmonary shunt, ventilation\u002Fperfusion (V\u002FQ) mismatch, and ischemic-hypoxic lung injury. Hypoxemia is the major problem during one-lung ventilation. Postoperative pulmonary complications (PPCs) are among the major complications following thoracic and general anesthesia surgeries, including atelectasis, pneumonia, and respiratory failure, which significantly prolong hospital stay and increase mortality.\n\nLow tidal volume lung-protective ventilation strategies have been widely implemented. Additionally, permissive hypercapnia, reducing peak airway pressure to minimize barotrauma, and decreasing FiO₂ all help reduce pulmonary complications.Recently, researchers have focused on optimizing ventilation strategies during OLV, such as using PEEP or low VT ventilation alone or in combination, or exploring different combinations of tidal volume and respiratory frequency under consistent minute ventilation (VE), aiming to balance lung protection and oxygenation, reduce complications, and improve patient outcomes.\n\nHowever, to date, there is still no gold standard tidal volume ventilation strategy for reducing pulmonary complications in patients undergoing lung resection.",[244,245,96,246,247],"Pulmonary Complications","Hypoxemia During Surgery","One Lung Ventillation (OLV)","Lung Cancer (Non-Small Cell)",[249,250,251,252],"pulmonary complications","hypoxemia","video-assisted thoracic surgery","one lung ventilation","2026-01-19",{"date":255,"type":46},"2026-01-28",{"date":257,"type":21},"2026-01-20",{"date":259,"type":21},"2029-02-01",{"name":261,"class":53},"First Affiliated Hospital of Zhejiang University",{"id":263,"slug":264,"hasResults":11,"nctId":265,"briefTitle":266,"officialTitle":267,"acronym":268,"eligibilityCriteria":269,"healthyVolunteers":11,"sex":17,"minAge":4,"maxAge":4,"enrollmentInfo":270,"targetDuration":272,"studyType":92,"phases":4,"briefSummary":273,"conditions":274,"keywords":279,"overallStatus":73,"whyStopped":4,"lastUpdateSubmitDate":283,"lastUpdatePostDateStruct":284,"startDateStruct":286,"completionDateStruct":288,"leadSponsor":290,"locationsCount":54},"100485399","registry-of-the-spanish-society-of-thoracic-surgery-100485399","NCT05600569","Registry of the Spanish Society of Thoracic Surgery","Registry of the Spanish Society of Thoracic Surgery (ReSECT)","ReSECT","The inclusion criteria will depend on the section of the registry to be considered.\n\n* Personal registry: patients undergoing any type of surgical intervention.\n* Registry of surgical processes by departments: patients undergoing an anatomical pulmonary resection as the first process to be implemented at the time ReSECT is to be established.\n\nExclusion Criteria:\n\n* Patients who could reject to participate in this study.",{"count":271,"type":21},30000,"5 Years","ReSECT is a project promoted by the Spanish Society of Thoracic Surgery with the aim not only to become an indefinite, dynamic and inclusive registry, but also to establish a common structural framework for the development of future multicentre projects in the field of thoracic surgery in Spain.\n\nThe goal of this nationwide prospective observational registry is:\n\n* To develop and validate forecasting tools based on powerful computational methods with the goal of assisting in decision-making and improving quality of care.\n* To evaluate the progressive implementation of certain surgical techniques that are on the rise, new technologies and future health programs.\n* To be aware of our results as specialty and professionals and to serve as a permanent benchmarking instrument in thoracic surgery.\n\nThe first part of ReSECT, based on a personal registry design, will contemplate any thoracic surgical procedure performed by thoracic surgeons and residents in thoracic surgery in our country. Additionally, the Spanish thoracic surgery departments that voluntarily accept to collectively participate will contribute to specific surgical processes focused on certain procedures with specific objectives to be progressively implemented.\n\nThe first and only surgical process implemented since the start of the ReSECT project will focus on patients to undergo anatomical lung resection with special interest in those cases whose reason for intervention was lung cancer.\n\nThe main questions to answer in case of that first surgical process include:\n\n* What is the performance of current predictive models for perioperative and oncological outcomes in our country?\n* How could we modify previous predictive models to improve their performance?\n* What is the implementation of current guideline recommendations in our country and across institutions?\n* What is the potential impact of deviations from current recommendations?\n* What is my performance compared to the rest of the thoracic surgical departments in my country in terms of perioperative and oncological outcomes?\n\nReSECT does not consider prespecified comparison groups of patients.",[275,30,276,277,278],"Pulmonary Surgical Procedures","Robotic Surgical Procedures","Thoracotomy","Lung Neoplasm",[280,281,282],"Pneumonectomy","Lobectomy","Segmentectomy","2023-10-18",{"date":285,"type":46},"2023-10-19",{"date":287,"type":46},"2023-01-01",{"date":289,"type":21},"2032-12-31",{"name":291,"class":53},"Sociedad Española de Cirugía Torácica"]