Major abdominal surgery Epidural analgesia Postoperative pulmonary complications Abdominal surgery Epidural analgesia Postoperative complications
Conditions
Interventions
Continuous epidural anesthesia is performed before anesthetic induction with Touhy needle number 16G-
18G at thoracic or lumbar level. ,Patients dose not receive epidural block.
Supportive Care,Supportive Care
Epidural Group,Non-
Sponsors
Research Fund, Faculty of Medicine, Chiang Mai University
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Inclusion criteria
Inclusion criteria: Age >18 years, ASA I-III, Elective major abdominal surgery
Exclusion criteria
Exclusion criteria: -Patients who refuse an informed consent for this research study -History of diaphragmatic abnormality such as diaphragmatic eventration or paralysis -History of phrenic nerve injury or palsy -History of neuromuscular disease -Cannot achieve correct diaphragm visualization -BMI ≥ 35 kg/m2 -Aortic aneurysm surgery -Preoperative intubation -Being planned for postoperative intubation by surgical/anesthesia team -Failure to extubate at the operating room -Patients with systemic infection or sepsis
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of postoperative diaphragm dysfunction within 48 hours after surgery Occurrence of the event | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of postoperative pulmonary complications During admission (within 14 days) Occurrence of the event | — |
Countries
Thailand
Contacts
Public ContactPrangmalee Leurcharusmee
Maharaj Nakorn Chiang Mai Hospital, Chiang Mai University
Outcome results
None listed