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This study aims to investigate, with a case-crossover design, the effects of a short course of preventive CPAP administered in the immediate postoperative period in patients at high-risk of developing postoperative pulmonary complications undergoing major vascular surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Major open vascular surgery | Surgical procedures on the abdominal aorta requiring median abdominal incision |
| |
| Endovascular aortic repair | Abdominal aortic repair with endovascular approach |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Postoperative preventive CPAP | Device | Administration of a course of 2 hours of CPAP with 7.5 cmH2O pressure and 0.30 FIO2 |
|
| Measure | Description | Time Frame |
|---|---|---|
| PaO2/FIO2 ratio | Increase of the PaO2/FIO2 ratio compared to the baseline value | Two hours after the administration of CPAP |
| Measure | Description | Time Frame |
|---|---|---|
| Esophageal pressure-time product (PTPes) | Increase of the PTPes compared to the baseline value | Two hours after the administration of CPAP |
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Inclusion Criteria:
Exclusion Criteria:
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Consecutive patients undergoing vascular surgical procedures on the abdominal aorta with open or endovascular approach
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Paolo Pelosi, Prof. | Contact | +39 335 5941740 | ppelosi@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Lorenzo Ball, MD | Università degli Studi di Genova | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Policlinico San Martino | Recruiting | Genova | 16132 | Italy |
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| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| D012131 | Respiratory Insufficiency |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
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