Influence of Moderate Inspired Oxygen Fraction (FiO2) and Protective Ventilation on Postoperative Pulmonary Complication
Overview
- Phase
- Phase 4
- Intervention
- Not specified
- Conditions
- Hepatectomy
- Sponsor
- Fenmei Shi
- Enrollment
- 280
- Locations
- 1
- Primary Endpoint
- a composite of pulmonary and extrapulmonary complications occurring by day 7 after surgery.
- Last Updated
- 11 years ago
Overview
Brief Summary
The purpose of this study is to determine the influence of moderate FiO2 and the lung protective ventilation on postoperative pulmonary complications following hepatic resection surgery.
Investigators
Fenmei Shi
resident
First Affiliated Hospital, Sun Yat-Sen University
Eligibility Criteria
Inclusion Criteria
- •ASA 1\~2,Planned intrabdominal hepatic resection surgery;
- •Expected duration 2 hours to 6 hours;
- •Age 40 yr to 70 yr);
- •BMI 18-26.9kg/m2
- •Risk of postoperative pulmonary complications (Arozullah score ≥2);
Exclusion Criteria
- •Noninvasive ventilation in the last 30 days;
- •Recent history of pneumonia, ALI/ARDS (in the last 30 days);
- •History of pulmonary resection;
- •History of neuromuscular disease;
- •Child-Pugh\>A grade;
- •Patient refusal;
Outcomes
Primary Outcomes
a composite of pulmonary and extrapulmonary complications occurring by day 7 after surgery.
Time Frame: during the first seven days after surgery
The primary outcome was a composite of major pulmonary complications (defined as pneumonia or need for invasive or noninvasive ventilation for acute respiratory failure) and extrapulmonary complications (defined as sepsis, septic shock, or death) within the first 7 days after surgery.
Secondary Outcomes
- incidence of pulmonary complications(within the 30-day follow-up period)
- Oxidative stress markers(2 days)