Postoperative delirium
Conditions
Interventions
Group 1: Primary endpoint: decrease in cerebral oximetry scores (cNIRS) >25% of baseline.
Secondary endpoints:
1st incidence of POCD (neurocognitive test battery).
2. incidence of POD (Nu-Desc/CAM-ICU
Sponsors
Universitätsklinikum Köln
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: 1. Age> 18 years 2. Indication for the surgical treatment of esophageal carcinoma or Barrett's esophagus 3. Indication for intraoperative one lung ventilation
Exclusion criteria
Exclusion criteria: 1. Refusal to participate in the study 2. insufficient knowledge of the German language 3. hearing or visual impairment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| AUC of cerebral desaturation =25% from baseline during one-lung ventilation | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. incidence of POCD 2. incidence of POD 3. cerebral oximetry values (absolute and relative changes) 4. duration of OLV 5. duration of surgery 6. advanced hemodynamic variables (CI, SVI, SVV, GEDI, SVRI, EVLWI) 7. vasopressors, catecholamines, fluids and transfusion rate 8. length of ICU stay, hospital stay 9. postoperative pulmonary complication 10. major cardiovascular events 11. ventilator-free hours 12. mortality 13. inflammatory variables (IL-6, CrP, leucocytes etc.) 14. correlation of NFKB1 and PHD genotype and POCD/POD 15. correlation of NFKB1 and PHD genotype and mortality | — |
Countries
Germany
Contacts
Public ContactTobias Kammerer
Klinik für Anästhesiologie und Operative Intensivmedizin Universitätsklinikum Köln (AöR)
Outcome results
None listed