NIVATS: Non-Intubated Video-Assisted Thoracic Surgery (NIVATS) is the least invasive approach available. It is part of an optimal Enhanced Recovery After Surgery (ERAS) pathway and allows for expanding surgical indications in patients with poor cardio-pulmonary function.
Study summary
The objective of this this single-center prospective longitudinal study is to evaluate the incidence of diaphragmatic dysfunction after non-intubated video-assisted thoracoscopic surgery (NIVATS).
Participant will be evaluated during surgery, 2 hours and 24 hours after surgery.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
* Patient aged 18 years or older
* Patient who has read and signed the informed consent form for participation in the study
* Patient undergoing surgery with video-assisted thoracoscopic surgery without intubation
Exclusion Criteria:
* Known or detected diaphragmatic dysfunction before the intervention
* Patient not affiliated with the French social security system
* Patient under legal protection, guardianship, or curatorship
* Patient already enrolled in another therapeutic study protocol (involving medications or non-drug therapies)
* Patient in an exclusion period from a previous clinical study
* Mental deficiency or any other reason that may hinder understanding or strict adherence to the protocol
Primary outcome measure(s)
Diaphragmatic excursion — Hour 24 The measurement of diaphragmatic excursion at H2 and H24 constitutes the primary evaluation criterion. Diaphragmatic excursion will be measured by ultrasound using a low-frequency probe (\< 5 MHz), either an abdominal or cardiac probe, positioned under the costal margin on the operated side and the contralateral side. To limit inter-operator variability, the patient's ultrasound evaluation will, as much as possible, be performed by the same operator. The presence of diaphragmatic dysfunction is defined by a diaphragmatic excursion of less than 1 cm.
Trial sites (1)
Facility
City
Region
Status
Hôpital Privé Claude Galien
Quincy-sous-Sénart
France
Recruiting
More GCS Ramsay Santé pour l'Enseignement et la Recherche trials in France
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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