elective video-assisted thoracic surgery for lung tumor requiring one lung ventilation
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) ASA physical status I-II 2) elective video-assisted thoracic surgery for lung tumor requiring one lung ventilation lasting more than 120 minutes
Exclusion criteria
Exclusion criteria: 1) decompensated cardiac disease (> class II in New York Heart Association) 2) chronic pulmonary disease (vital capacity < 50% of predicted values and/or forced expiratory volume in 1 second < 50% of forced vital capacity) 3) chronic renal failure (serum creatinine > 1.5 mg/dl) 4) altered liver function (> class B in Child-Pugh) 5) preoperative treatment with immune modulator (cytostatic drugs, corticosteroids, nonsteroidal antiinflammatory drugs, vaccination, and blood products) within a month before surgery 6) pre-existing coagulation disorders 7) symptoms of an acute inflammatory process (clinically defined or abnormal data for C-reactive protein, leukocyte count, or body temperature) 8) Arteriosclerosis obliterans and/or iliac artery stenosis and/or aneurysms with or without bypass surgeries, which would be associated with an increased risk of complications following the femoral arterial cannulation for PiCCO
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is set to the change of extravascular lung water with PiCCO (Pulsion Medical Systems, Munich, Germany) determined with the single indicator transpulmonary thermodilution technique at T1; baseline time after induction of anesthesia, T2; the end of the surgical procedure and before extubation, T3; just after the admission to the ICU, and T4; 12 hour after the admission to the ICU, respectively. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary outcome includes postoperative complications within 14 days and duration of postoperative hospitalization. | — |
Countries
Japan
Contacts
Hiroshima University Hospital Department of Anesthesiology and Critical Care