Lung function impairment is common after abdominal surgery. Few preventive strategies exist against postoperative lung function impairment. A new potential preventive strategy against postoperative lung function impairment comes from research on critically ill patients with severe respiratory failure. In this field research has long focused on influence of breathing volume (= tidal volume) during mechanical ventilation on outcome. It has been shown, that low tidal volumes improve patients outcomes as compared to (conventional) high tidal volumes. Therefore, we propose a patient and investigator blinded randomised trial to test the hypotheses that intraoperative mechanical ventilation with low tidal volumes as compared to high tidal volumes reduces postoperative lung function impairment in high risk patients.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
101
intraoperative mechanical ventilation with 6 ml/kg predicted body weight
intraoperative mechanical ventilation with 12 ml/kg predicted body weight
Department of Anesthesiology
Düsseldorf, Germany
Lung function as assessed by spirometry
Time frame: 1 year
lung function as assessed by blood gas analysis
Time frame: 1 year
time till hospital discharge
Time frame: 1 year
postoperative organ dysfunction
Time frame: 1 year
postoperative chest x-rays
Time frame: 1 year
time till mobilisation
Time frame: 1 year
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