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The investigators hypothesize that large doses of fluids used during intraoperative could affect lung parenchyma structure and, consequently, gas exchange and respiratory mechanics. The purpose of this study is to evaluate fluids effects on oxygenation, respiratory mechanics, by using two different solutions: crystalloid or colloid.
Inclusion Criteria:
Exclusion Criteria:
Respiratory mechanic parameters (i.e., inspiratory peak pressure, plateau pressure, total airway resistance, and static compliance) are obtained .Blood samples are drawn simultaneously from the arterial catheters for gas analysis. Data were collected after induction of anesthesia (T0) after 1 h (T1), 2 h (T2), 3 h (T3) and at the end of surgery.
Primary outcome: evaluate the fluids effects on oxygenation, respiratory mechanics
Secondary outcome: Incidence of surgery related complications
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cristalloid | Active Comparator | group cristalloid (ringer lactate) |
|
| colloids | Active Comparator | colloid: cristalloid in according to cardiac output |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group Colloid | Drug | Group Colloid: cristalloid 1:2 (gelofusine: ringer lactate) |
| |
| Measure | Description | Time Frame |
|---|---|---|
| effects on oxygenation, respiratory mechanics | Lung compliance (l/cmH20), Airaway resistance (cmH2O/L/sec) and PaO2 will be measured | every 30 minutes till the end of surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of respiratory complications | Complications like acute respiratory failure, pneumonia and ARDS will be recorded | 28 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Savino Spadaro, researcher | Contact | +390532206570 | spdsvn@unife.it |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Ferrara | Recruiting | Ferrara | 44121 | Italy |
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| Cristalloid administration |
| Drug |
Only Ringer Lactate administration |
|