Patients scheduled for an abdominal/gynaecological oncological surgical procedure +/- combined with hyperthermic intraperitoneal chemotherapy (HIPEC) Surgery
Conditions
Interventions
Participants in this study are adult patients scheduled for abdominal or gynaecological cancer surgery, with or without heated chemotherapy (HIPEC). After giving informed consent, they will be monitor
Sponsors
University Medical Center Groningen
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Aged =18 years 2. Scheduled for an abdominal/gynaecological oncological surgical procedure +/- combined with HIPEC
Exclusion criteria
Exclusion criteria: 1. Inability to provide informed consent 2. Allergy to adhesive electrodes 3. Presence of a pacemaker/ICD 4. Recent cardiopulmonary arrest 5. Cardiac arrhythmias 6. Atrial fibrillation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Inflammation levels are measured using cytokine concentrations (e.g. IL-6, TNF-a) in blood samples taken at baseline (before surgery), and every 30 minutes during surgery (until the end of surgery). These are compared with: Heart rate variability (HRV) parameters (e.g. LF, HF, RMSSD) and EEG parameters (e.g. Spectral Edge Frequency, Burst Suppression) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Impact of anaesthetic type (propofol vs sevoflurane) on HRV and EEG parameters — measured during surgery using the CoreSys One device. Device usability: 2. User experience and technical performance of the CoreSys One device — assessed through qualitative feedback forms completed by clinical staff post-surgery. Clinical outcomes: 3. Organ dysfunction: Presence of acute kidney injury (AKI), postoperative delirium (POD), acute lung injury (ALI), perioperative myocardial injury (P-AMI) — extracted from medical records within 48 hours after surgery. 4. Length of ICU stay — recorded in days from medical records. 5. Length of hospital stay — recorded in days from medical records. 6. 28-day mortality — assessed through patient follow-up in hospital records. 7. Surgical complications graded using Clavien-Dindo classification (CD = 3) — assessed during hospital stay. | — |
Countries
Netherlands
Contacts
Public ContactGertrude Nieuwenhuijs-Moeke
Outcome results
None listed