Laparotomy
Conditions
Keywords
perioperative oxygen, respiratory complications
Brief summary
Aim: To investigate the effect of high intra- and postoperative oxygen concentration (80%, as opposed to normally 30%) on pulmonary gas exchange and other pulmonary complications after abdominal surgery. Background: Previous studies have shown possible beneficial effects of high perioperative oxygen concentration on surgical wound infection and healing, but all pulmonary effects are not clarified. Change in perioperative PaO2/FiO2 and shunt-fraction, measured by a gas rebreathing technique, can describe pulmonary oxygenation. This could add knowledge to the pulmonary effects of high vs. normal oxygen concentration. Primary hypothesis of study: Perioperative use of a 80% oxygen concentration reduces the PaO2/FiO2-index compared to 30% oxygen.
Interventions
Inspiratory fraction during anaesthesia
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 18 years or older * Laparatomy, elective
Exclusion criteria
* Inability to give informed consent * Chemotherapy within 3 months * Other surgery within 30 days(except surgery in local anaesthesia) * Inability to keep oxygen saturation above 90% without supplemental oxygen (measured preoperatively by pulse oximetry)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in PaO2/FiO2-index during general anaesthesia. | End of surgery. |
Secondary
| Measure | Time frame |
|---|---|
| Change in PaO2/FiO2-index during general anaesthesia and postoperative recovery. | 1½ hour after surgery. |
| Atelectasis and Pneumonia | 14 days after surgery |
| Arterial oxygen saturation | 2 hours and 3 days after surgery. |
| Change in functional residual capacity (FRC) | 2 hours after surgery. |
| Change in effective pulmonary bloodflow | 2 hours after surgery. |