Esophageal cancer, acute respiratory distress syndrome Cancer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients over 18 years old 2. Planned transthoracic oesophagectomy for oesophageal carcinoma 3. One-lung ventilation during operation 4. Ability to obtain written consent for participation in the study
Exclusion criteria
Exclusion criteria: 1. Known intolerance to oral cholecalciferol 2. Inability to swallow 3. Known sarcoidosis, hyperparathyroidism, or nephrolithiasis 4. Serum calcium >2.65 mmol/l 5. Undergoing haemodialysis 6. Pregnant or breastfeeding 7. Diagnosis of chronic obstructive pulmonary disease (COPD) with a forced expiratory volume in one second (FEV1) less than 50% predicted or resting oxygen saturation of less than 92% 8. Oesophageal resection without the use of OLV 9. Failure to obtain informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Extravascular lung water index (EVLWI) and pulmonary vascular permeability index (PVPI) evaluation one hour postoperatively and on postoperative Day 1. 2. Acute respiratory distress syndrome incidence during the hospital stay. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Impact of cholecalciferol supplementation on vitamin D3 plasma levels at surgery day and postoperative day 6. 2. Effect of preoperative cholecalciferol supplementation on the need for mechanical ventilation and its duration of mechanical ventilation duration in patients with respiratory failure. 3. Effect of preoperative cholecalciferol supplementation on SOFA score. 4. Effect of preoperative cholecalciferol supplementation on the presence of respiratory complications. 5. Effect of preoperative cholecalciferol supplementation on length of ICU stay. 6. Effect of preoperative cholecalciferol supplementation on 30 and 90-day mortality. 7. Effect of preoperative cholecalciferol supplementation on 3-year survival. | — |
Countries
Slovakia