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A single-center prospective observational study. This study examines urine flow and haemodynamic parameters during abdominal surgery and analyses the association to postoperative renal function and markers and to postoperative clinical outcome.
Primary hypothesis:
• Within a goal-directed haemodynamic protocol during gynecologic cancer surgery there are phases of temporary anuria.
Secondary hypothesis:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ovarian cancer patients | Perioperative primary epithelial ovarian cancer patients |
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| Measure | Description | Time Frame |
|---|---|---|
| Exact measurement of urine production | Exact measurement of urine production (number of anuric episodes anf duration of anuric episodes in minutes) | During the operation and in the 72-hour postoperative sample period |
| Measure | Description | Time Frame |
|---|---|---|
| Exact measurement of urine production | Exact measurement of urine production (amount in milliliter) | During the operation and in the 72-hour postoperative sample period |
| Biomarker for renal injury, Neutrophil gelatinase-associated lipocalin (NGAL) and creatinine |
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Inclusion Criteria:
Exclusion Criteria:
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Female patients being treated in the Department of Gynecology and Obstetrics, Campus Virchow Klinikum, Charité - Universitaetsmedizin Berlin.
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| Name | Affiliation | Role |
|---|---|---|
| Claudia Spies, MD, Prof. | Department of Anesthesiology and Intensive Care Medicine CVK/CCM, Charité - University Berlin | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Anesthesiology and Intensive Care Medicine, Campus Virchow Klinikum, Charité - Universitaetsmedizin | Berlin | State of Berlin | 13353 | Germany |
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Parameters from blood sample |
| During the operation and in the 72-hour postoperative sample period |
| Hemodynamic parameters | During the operation |
| Blood loss | During the operation |
| Depth of Anesthesia | Measuring depth of Anesthesia by Bispectral Index Monitoring | During the operation |
| Organ dysfunctions | During the operation and in the 72-hour postoperative sample period |
| Postoperative pain | In the 72-hour postoperative sample period |
| Body weight development | In the 72-hour postoperative sample period |
| Duration until fulfilment of hospital discharge criteria | Participants will be followed for the duration of an expected average of 4 weeks |
| ICU and hospital length of stay | Participants will be followed for the duration of intensive care unit stay and hospital stay, an expected average of 4 weeks |
| Quality of life and functional status | Participants will be followed for the duration of hospital stay, an exspected average of 4 weeks |
| Inflammatory parameters | In the 72-hour postoperative sample period |
| Amount of vasopressors | During the operation and in the 72-hour postoperative sample period |