Postoperative Lung Function, Kidney Function, Inflammatory Response and Short-term Outcome After Esophagectomy and Reconstruction: Intraoperative Fluid Management Controlled With Lower and Higher Pulse Pressure Variation
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 7
- 试验地点
- 2
- 主要终点
- postoperative lung function, kidney function, inflammatory response
研究概览
简要总结
The purpose of this study is to determine whether intraoperative restrictive fluid management guided by pulse pressure variation produces a better effect on the postoperative lung function, kidney function, inflammatory response and short-term outcome after esophagectomy and reconstruction.
详细描述
Measurements: intraoperative Lung injury score, Lung water index, Pulmonary vascular Permeability Index Measurements: intraoperative and postoperative Plasma creatine, C reactive protein (CRP), lactate, Neutrophil gelatinase-associated lipocalin (NGAL), Interleukin-6 (IL-6), Interleukin-8 (IL-8)
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 20 Years 至 70 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients undergoing esophagectomy and reconstruction
排除标准
- •ASA score >= 3, (American Society of Anesthesiologist physical status classification system)
- •arrythmia, atrial fibrillation
- •lung diseases, such as COPD (chronic obstructive pulmonary disease); lung function test showed moderate to severe ventilation defect
- •plasma creatinine level above 1.5 mg/dl
结局指标
主要结局
postoperative lung function, kidney function, inflammatory response
时间窗: from introperative to postoperative day 2
plasma creatinine, CRP, lactate, NGAL, IL-6, IL-8
次要结局
- postoperative short-term outcome(the duration of hospital stay, about 4 weeks)
