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| Name | Class |
|---|---|
| Karolinska Institutet | OTHER |
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The study aims to investigate changes in lung function and diffusion capacity for carbon monoxide after open and minimally invasive abdominal surgery and whether such changes can explain hypoxia after surgery.
Inclusion: Patients undergoing surgery for abdominal surgery
Exclusion: Dementia or cognitive impairment that makes it impossible to participate in studies.
Investigation: The day before surgery and the day after surgery
Primary outcome measures:
Postoperative hypoxia complicates 30% - 50% of abdominal surgeries. People at particular risk for postoperative pulmonary complications including severe hypoxia are those who undergo abdominal surgery, emergency surgery or have a respiratory failure due to chronic lung disease including obstructive sleep apnea. The cause of postoperative restrictive lung function and hypoxia is unknown. Previous studies report that PaO2 decreases by an average of 2 kPa after abdominal surgery, while PaCO2 is unchanged and vital capacity decreases by 35%.
The study aims to investigate changes in lung function and diffusion capacity for carbon monoxide after open and minimally invasive abdominal surgery and whether such changes can explain hypoxia after surgery.
Design: Prospective cohort study
Inclusion: Patients undergoing surgery for abdominal surgery
Exclusion: Dementia or cognitive impairment that makes it impossible to participate in studies.
Method: The day before surgery and the day after surgery: Lung function (Vital capacity and FEV1) using box and diffusion capacity measurements and blood gas measurement
Primary outcome measures:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Abdominal surgery | People who to be operated in the abdomen are investigated before and after surgery. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lung function before and after surgery | Diagnostic Test | A diagnostic test |
|
| Measure | Description | Time Frame |
|---|---|---|
| Diffusion capacity for carbon monoxide (DLCO) | Change in DLCO | Change from baseline (the day before surgery) to postoperative day 1 or 2 |
| Measure | Description | Time Frame |
|---|---|---|
| Vital capacity (VC) | Change in VC | Change from baseline (the day before surgery) to postoperative day 1 or 2 |
| Forced expiratory volume (FEV1) | Change in FEV1 |
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Inclusion Criteria:
Exclusion Criteria:
• Dementia or severe cognitive impairment
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patients of 18 years old or olderundergoing abdominal surgery at department of Surgery, Urology and Gynecologi Umeå University hospital
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| Name | Affiliation | Role |
|---|---|---|
| Karl A Franklin, Prof | Inst Surgical and periopertive sciences, Umeå university, Sweden | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Dept surgery, | Umeå | Sweden |
We plan to share IPD if possible according to Swedish legislation
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| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Change from baseline (the day before surgery) to postoperative day 1 or 2 |
| Arterial PO2 | Change in arterial PO2 | Change from baseline (the day before surgery) to postoperative day 1 or 2 |
| Arterial PCO2 | Change in arterial PCO2 | Change from baseline (the day before surgery) to postoperative day 1 or 2 |