Non-Invasive Ventilation Preoperative Lung Resection Surgery (préOVNI)

This is an interventional treatment trial for Surgery for Primary Lung Cancer focused on measuring primary lung cancer, lobectomy, pneumonectomy, non-invasive ventilation Read More

Inclusion Criteria:

• Patient over 18 years, to benefit from surgery scheduled for lung resection (lobectomy or segmentectomy) for primary lung cancer and having signed an informed consent.

AND

• Trouble obstructive (FEV / FVC <70% and FEV <80% predicted)

Or restrictive (FVC <80% or TLC <80%)

Or decrease in the ratio TLCO / VA <60%

Or history of respiratory failure with hypercapnic Pa CO2> 45 mmHg in the year preceding surgery

Or long-term oxygen

Or heart failure (clinical signs of heart failure and LVEF <55% or disorder of relaxation on echocardiography or atrial fibrillation)

Or history of acute cardiogenic pulmonary edema.

Or obesity (BMI> 30 kg/m2)

Exclusion Criteria:

• Inability to consent
• Patient declared inoperable given the comorbidities or refusing surgery or with unresectable tumors.
• Patient operable but with no comorbidities described in the inclusion criteria

• Contraindications to the non-invasive ventilation:

  • Lack of understanding of the technical
  • facial malformation
  • Tight stenosis of the upper airway
  • uncontrollable vomiting
  • Unable to remove the mask
  • Cognitive impairment or severe psychiatric jeopardizing the observance of the NAV
• Patient non-insured
• Patient already on invasive ventilation or non-invasive
• During Pregnancy