Hepatectomy
Conditions
Keywords
Moderate FiO2, Protective lung ventilation, Postoperative pulmonary complications, Positive end-expiratory pressure, recruitment maneuvers
Brief summary
The purpose of this study is to determine the influence of moderate FiO2 and the lung protective ventilation on postoperative pulmonary complications following hepatic resection surgery.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* ASA 1\ 2,Planned intrabdominal hepatic resection surgery; * Expected duration 2 hours to 6 hours; * Age 40 yr to 70 yr); * BMI 18-26.9kg/m2 * Risk of postoperative pulmonary complications (Arozullah score ≥2);
Exclusion criteria
* Noninvasive ventilation in the last 30 days; * Recent history of pneumonia, ALI/ARDS (in the last 30 days); * History of pulmonary resection; * History of neuromuscular disease; * Child-Pugh\>A grade; * Patient refusal;
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| a composite of pulmonary and extrapulmonary complications occurring by day 7 after surgery. | during the first seven days after surgery | The primary outcome was a composite of major pulmonary complications (defined as pneumonia or need for invasive or noninvasive ventilation for acute respiratory failure) and extrapulmonary complications (defined as sepsis, septic shock, or death) within the first 7 days after surgery. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| incidence of pulmonary complications | within the 30-day follow-up period | the incidence of pulmonary complications due to any cause, graded on a scale from 0 (no pulmonary complications) to 4 (the most severe complications);extrapulmonary complications; durations of ICU and hospital stays; |
| Oxidative stress markers | 2 days | Oxidative stress markers variation in blood before anesthesia,during and after surgery , and compare with controls. |
Countries
China