This programme of research will examine the role of beta-2 agonist as specific pharmacotherapy to reduce the incidence of Acute Lung Injury (ALI) / Acute Respiratory Distress Syndrome (ARDS) in patients undergoing elective oesophagectomy.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Provision of informed consent. 2. Age >18years. 3. Planned elective transthoracic oesophagectomy. 4. Ability to use inhaler with spacer device. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: 1. Pregnancy. 2. Current treatment with long acting beta agonist (any formulation). 3. Allergy to excipients contained in the salmeterol inhaler. 4 Current treatment with non-cardioselective beta blockers (the cardioselective beta blockers atenolol, betazolol, bisoprolol and metoprolol are permitted). 5. Treatment with an investigational medicinal product in the last 30 days.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Acute respiratory distress syndrome (ARDS) is a serious condition affecting the lungs, making it difficult for the lungs to work effectiveley and get oxygen into the blood. ARDS also complicates approximately 25-30% of patients undergoing oesophagectomy (procedure to remove a portion of the lower gullet). This study aims to evaluate whether prophylactic (preventive) treatment with inhaled salmeterol will reduce the incidence of ARDS in patients undergoing elective oesophagectomy. ; Secondary Objective: -To evaluate the effects of Salmeterol on: -global severity of illness(APACHE II, SAPS II, SOFA); and respiratory severity of illness (oxygenation [PaO2:FiO2 ratio,lung injury score, lung water, [day 0 - extubation]) -lung and systemic inflammation. -To evaluate the ALI/ARDS within 28 days of surgery; 60 day and 1 year mortality. -To evaluate the effects of salmeterol on the number of days a patient is not on a ventilator. ;Primary end point(s): The primary outcome will be the development of clinically significant acute lung injury within 72 hours of oesophagectomy. | — |
Countries
United Kingdom