Major Lower Abdominal Surgery
Conditions
Brief summary
We measure in this study lung function of 100 patients immediately after major lower abdominal surgery. We compare lung function, when either endotracheal intubation, or laryngeal masks are used for airway protection during surgery. The hypothesis is that the use of laryngeal masks is associated with less impairment of lung function in the immediate postoperative phase.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
- patients scheduled for elective retropubic radical prostatectomy
Exclusion criteria
\- increased risk of aspiration due to hiatal hernia, morbid obesity, or facial malformations
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The change between pre- and postoperative forced expiratory volume in one second (FEV1) in lung function | one day prior to surgery, 1 hour after surgery (recovery room), at day one after surgery | The lung function is quantified by using Spirometry and pulse oximetry. Spirometry is performed in a standardized way according to the recommendations of the American Thoracic Society (ATS) and European Respiratory Society (ERS) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Vital capacity (VC) measured by spirometry. | one day prior to surgery, i hour after after surgery (recovery room), at day one after surgery | Spirometry is performed in a standardized way according to the recommendations of the American Thoracic Society (ATS) and European Respiratory Society (ERS) |
| Forced vital capacity (FVC) | one day prior to surgery, one hour after surgery (recovery room), at day one after surgery | — |
| mid-expiratory flow (MEF 25, 50, 75) | one day prior to surgery, one hour after surgery, at day one after surgery | — |
| Peak expiratory flow (PEF) | one day prior to surgery, one hour after surgery (recovery room) , at day one after surgery | — |