Improving perioperative care for elective colorectal surgery Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Elective or semi-elective patients due to undergo colorectal surgery as part of Enhanced Recovery Protocol 2. Successful simultaneous LiDCOrapid and oesophageal Doppler monitoring throughout surgery
Exclusion criteria
Exclusion criteria: 1. Emergency surgery 2. Lack of capacity to consent 3. Pregnancy 4. All excluded patients from patient groups to be reported in results 5. Contraindications to oesophageal Doppler probe 5.1. nasal injuries or polyps 5.2. severe oesophageal/laryngeal/pharyngeal disease 5.3. recent oesophageal/laryngeal/pharyngeal surgery 5.4. thoracic aortic aneurysm 5.5. severe bleeding diathesis 5.6. long-term systemic steroid therapy 5.7. portal hypertension 6. Contraindications to arterial line or LiDCOrapid 6.1. weight <40kg 6.2. aortic valve regurgitation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post-operative length of stay (in days) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Intra-operative oxygen delivery index values 2. Intra-operative intravenous fluid volumes 3. Intra-operative differences in % change stroke volume 4. Morbidity 5. Functional recovery (mobility and return of gastrointestinal function) 6. In-hospital and 30-day mortality | — |
Countries
United Kingdom