Diaphragm weakness in diabetes patients with laparoscopic abdominal surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with type 2 diabetes, age>=18 years, ASA grade I-III, elective laparoscopic colorectal surgery under general anesthesia.
Exclusion criteria
Exclusion criteria: 1.Emergency surgery or unexpected hemorrhagic shock during surgery; 2.Allergy to any of the drugs used in anesthesia; 3.History of previous thoracoabdominal surgery and trauma 4.History of severe heart, lung, liver, kidney, neurological, hematological disease or neuromuscular disorders and diaphragmatic paralysis; 5.Treatment with drugs known to affect neuromuscular function or cause drowsiness within 2 weeks before surgery; 6.Psychiatric and skin conditions that may interfere with the study protocol or potentially confound results; 7.Patients who had participated in another study within 6 month; 8.Pregnancy or breastfeeding; 9.Patients refused to participate.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diaphragm thickening fraction during tidal breathing; | — |
Secondary
| Measure | Time frame |
|---|---|
| Diaphragm thickening fraction during tidal breathing;Diaphragm thickness during tidal breathing;Diaphragm excursion during tidal breathing;Diaphragm thickening fraction during maximal inspiration;Diaphragm thickeness during maximal inspiration;Diaphragm excursion during maximal inspiration;Incidence of diaphragm weakness;Pulmonary parameters during mechanical ventilation (Ppeak, Pplat, Pmean, PEEP, DP, Cdyn, PETCO2, OI);arterial blood gas ;occurrence of pulmonary complications ;Incidence of postoperative hypoxemia; | — |
Countries
China
Contacts
The First Affiliated Hospital, Wenzhou Medical University