Patients receiving mechanical ventilation after abdominal surgery Surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients receiving mechanical ventilation after abdominal surgery 2. Patients predicted to have a mechanical ventilation duration under 72 hours 3. Aged 18 - 85 years
Exclusion criteria
Exclusion criteria: 1. Known or suspected allergies to analgesics 2. Pregnancy or lactation 3. Consciousness disorders secondary to: 3.1. Metabolic diseases 3.2. Neurovascular diseases 3.3. Infections 3.4. Brain trauma 4. Unstable hemodynamics 5. Myasthenia gravis 6. Use of monoamine oxidase inhibitors within 14 days prior to enrollment 7. Bradycardia or severe heart block
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time from the cessation of sedation to awakening, defined as the recovery time, is measured using data collected from patient medical records at one-time point | — |
Secondary
| Measure | Time frame |
|---|---|
| The following secondary outcome measures are assessed using data collected from patient medical records at one time point: 1. Mechanical ventilation (MV) time, defined as the time from inclusion to extubation 2. Extubation time, defined as the time from the cessation of sedation to extubation 3. Duration of analgesia or sedation, defined as the time of study enrollment to the point of complete cessation of all pharmacological interventions in these categories 4. Duration of mechanical ventilation, defined as the time from intubation to extubation 5. Length of stay in the ICU, defined as the duration (in hours) from ICU admission to discharge, with admission and discharge time recorded to the nearest hour 6. Incidence of delirium: delirium occurrence was systematically monitored and recorded daily using the Confusion Assessment Method (CAM-ICU) by trained research staff 7. Abdominal distension, defined as the incidence of related adverse events (e.g. gastric retention, nausea, and vomiting): These events were prospectively documented for all patients from inclusion to ICU discharge 8. Incidence of related adverse events (e.g. gastric retention, nausea, and vomiting) | — |
Countries
China