Respiration Disorders
Conditions
Keywords
lung resection, reduced pulmonary function
Brief summary
A fast track recovery program (thoracic epidural anesthesia, carbohydrate drink preoperative, early removal of chest tubes) is evaluated compared to conventional perioperative treatment (patient controlled analgesia, no carbohydrate drink preoperative) in patients with FEV1 \< 70% of expected value or \< 1.5L who undergo resections of the lung.
Interventions
fast track lung surgery: carbohydrate drink preoperatively, PCEA, early removal of chest tube conventional: no carbohydrate drink preoperatively, ICB+PCA, removal of chest tube depending upon chest x-ray
Sponsors
Study design
Eligibility
Inclusion criteria
* resection of the lung * FEV1 \<70% of expected value or below 1.5L * 18-80y * given written informed consent
Exclusion criteria
* contraindication for epidural anesthesia * prio ipsilateral thoracotomy * chemotherapy \<6 weeks prior to study enter * existing pneumonia (fever, elevated WCC, elevated CRP)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| pulmonary complications (air leak, atelectasis, pneumonia); lung function on pod 7; overall mortality | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| duration of ICU treatment | 1 year |
Countries
Germany