Effect of Volume and Type of Fluid on Postoperative Incidence of Respiratory Complications and Outcome (CRC-Study)
Intraoperative intravenous fluid management practice varies greatly between anesthesiologists. Postoperative fluid based weight gain is associated with major morbidity. Postoperative respiratory complications are associated with increased morbidity, mortality and hospital costs. The literature shows conflicting data regarding intraoperative fluid resuscitation volume. No large-scale studies have focused on intraoperative fluid management and postoperative respiratory dysfunction.
Hypotheses:
Primary - Liberal intraoperative fluid resuscitation is associated with an increased risk of 30 day mortality Secondary - Liberal intraoperative fluid resuscitation is associated with increased likelihood of postoperative respiratory failure, pulmonary edema, reintubation, atelectasis, acute kidney injury and peri-extubation oxygen desaturation.
研究概览
研究类型
注册 (实际的)
联系人和位置
学习地点
-
-
Massachusetts
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Boston、Massachusetts、美国、02114
- Massachusetts General Hospital
-
-
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
取样方法
研究人群
描述
Inclusion Criteria:
- Ages 18 upwards
- Tracheally intubated at the beginning of the procedure and extubated at the end of the procedure
Exclusion Criteria:
- Cases where the subject had additional surgeries within the previous four weeks
- Ages under 18
学习计划
研究是如何设计的？
设计细节
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Mortality
大体时间：within 30 days after surgery
|
Mortality within 30 days of surgery
|
within 30 days after surgery
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Postoperative pulmonary complications
大体时间：3 days after surgery
|
The incidence of a diagnosis of pneumonia, respiratory failure, atelectasis or pulmonary edema within 3 days after extubation in the operating room.
Cases where these diagnoses were present on the day before surgery were not counted.
|
3 days after surgery
|
|
Acute Kidney Injury
大体时间：within 48 hours of surgery
|
A Creatinine increase of >0.3mg/dl or 50% from baseline (Creatinine value closest recorded to surgery but within 30 days of surgery) to maximum value measured within 48 hours postoperatively or an ICD-9 diagnosis of AKI within 7 days of surgery but not within 30 days prior to surgery
|
within 48 hours of surgery
|
|
Post-extubation oxygen desaturation
大体时间：within the first 10 minutes after extubation
|
One or more minutes with a blood oxygen saturation below 90% during the first ten minutes after extubation
|
within the first 10 minutes after extubation
|
合作者和调查者
调查人员
- 首席研究员：Matthias J Eikermann, M.D., Ph.D.、Massachusetts General Hospital
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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