Effects of Prone Position After Major Abdominal Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Surgery
- Sponsor
- Vastra Gotaland Region
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- Number of participants with treatment-related adverse events of postoperative lung and abdominal complications incl a CT scan for objective measurement
- Status
- Recruiting
- Last Updated
- last year
Overview
Brief Summary
Evaluation of postoperative prone position after major abdominal surgery. A randomized clinical trial of 100+100 patients and further add a voice/speech/singing protocol.
Detailed Description
Evaluation of postoperative prone position after major abdominal surgery. A randomized clinical trial of 100+100 patients and further add a voice/speech/singing protocol. The patients will be randomized to the standard ERAS-protocol, enhanced recovery after surgery with or without adding periods of prone position after surgery. They will be followed by protocol both as a momentum effect (experimental study) on POD 2-5 and also POD 7. The aim is evaluation of prone position in order to improve the ventilation and hopefully diminish the risk of for example pneumonia and thromboembolism. Inclusion criteria Patients referred to the Department of Surgery for major abdominal surgery of the esophagus, gastric- or pancreas surgery aim to cure. Exclusion criteria Patients unable to understand Swedish in writing or speaking, preoperatively unable to perform a prone position. The participation is voluntary and demands an inform consent from the patient operated upon. The primary outcome is oxygen saturation and lung complications after surgery. The secondary outcome is measurement of lung volumes, patient experience (7th graded Lickert scale), days of hospital care, 30 days complications etc. Further investigations are perioperative properties as BMI, other forms of surgery, etc., and continues measurement of blood pressure, respiration frequency, heartrate, tubes and drainages, postoperative analgesic, blood samples with signs of bleeding, inflammation, infection.
Investigators
Cecilia Engström-Mattisson
MD PhD Associated Professor
Vastra Gotaland Region
Eligibility Criteria
Inclusion Criteria
- •malignancy of the esophagus, gastric- or pancreas
Exclusion Criteria
- •.not able to understand Swedish in writing or speaking
- •preoperatively unable to perform a prone position
Outcomes
Primary Outcomes
Number of participants with treatment-related adverse events of postoperative lung and abdominal complications incl a CT scan for objective measurement
Time Frame: through study completion, an average of 1 year
Adverse events like pneumonia, lungembolism, lungempyema, interventions pankreatitis
Oxygen saturation measurement postoperatively
Time Frame: an average of (POD) Postoperative day 2-7
Measurement during sitting position
Number of participants with treatment-related adverse events of postoperative lung and abdominal complications
Time Frame: through study completion, an average of 1 year
Pneumonia, Lung embolism, Empyema of the lung, pankreatitis
Secondary Outcomes
- Number of participants needing intervention(through study completion, an average of 1 year)
- Number of participants with treatment-related diminished lung volumes(through study completion, an average of 1 year)
- Number of days of Hospital care(through study completion, an average of 1 year)