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Protective mechanical ventilation during open surgery on the abdomen with general anaesthesia

Not Applicable
Completed
Conditions
Ventilator acquired lung injury (VILI)
Injury, Occupational Diseases, Poisoning
Lung injury
Registration Number
ISRCTN70332574
Lead Sponsor
Academic Medical Centre (AMC) (Netherlands)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
900
Inclusion Criteria

1. Planned elective abdominal surgery
2. General anaesthesia with intravenous medication
3. High or intermediate risk for post-operative pulmonary complications
4. Aged greater than or equal to 18 years, either sex

Exclusion Criteria

1. Aged less than 18 years
2. Body mass index greater than 40 kg/m^2
3. Laparoscopic surgery
4. Previous lung surgery (any)
5. Persistent haemodynamic instability, intractable shock (considered haemodynamic unsuitable for the study by the patient's managing physician)
6. History of previous severe chronic obstructive pulmonary disease (COPD) (non-invasive ventilation and/or oxygen therapy at home, repeated systemic corticosteroid therapy for acute exacerbations of COPD)
7. Recent immunosuppressive medication (patients receiving chemotherapy or radiation therapy within the last 2 months)
8. Severe cardiac disease (New York Heart Association class III or IV, or acute coronary syndrome, or persistent ventricular tachyarrhythmia's)
9. Mechanical ventilation greater than than 30 minutes (e.g., in cases of general anaesthesia because of surgery) within last 30 days
10. Pregnancy (excluded by laboratory analysis)
11. Acute lung injury or acute respiratory distress syndrome expected to require prolonged post-operative mechanical ventilation
12. Neuromuscular disease (any)
13. Consented for another interventional study or refusal to participate in the study

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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