| Study period | ||||||
---|---|---|---|---|---|---|---|
 | Enrollment | Allocation | Postallocation | ||||
Time point | Day − 1 | Day 0 | T1 (after radial artery puncture) | 15 min after intubation (T2) | Before extubation (T3) | 2 h after surgery | 24 h after surgery |
Enrollment | |||||||
 Eligibility screen | X |  |  |  |  |  |  |
 Informed consent | X |  |  |  |  |  |  |
 Randomization |  | X |  |  |  |  |  |
 Allocation |  | X |  |  |  |  |  |
Interventions | |||||||
  [Group 1] S-ketamine group |  |  | X |  |  |  |  |
  [Group 2] Normal saline group |  |  | X |  |  |  |  |
Outcome assessment | |||||||
 Total LUS |  |  | X | ※ | X |  |  |
 LUS of 12 chest regions |  |  |  | X |  |  |  |
 PaCO2, PaO2, and PaO2/FiO2 |  |  | X | X | X |  |  |
 Pplat and Cdyn |  |  |  | X | X |  |  |
 Incidence of postoperative complications associated S-ketamine |  |  |  |  |  | X | X |
 Incidence of PPCs |  |  |  |  |  | X | X |