Driving Pressure And EFL in Adult Cardiac Surgery
NCT03064659 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 200
Last updated 2017-05-23
Summary
During general anesthesia, functional residual capacity (FRC) is reduced. If the FRC is lower than the minimum volume required to maintain the opening of the airways, there is a derecruitment of the lung parenchyma, leading to the phenomenon of expiratory flow limitation (EFL).
The Driving Pressure (DP) is the difference between the plateau pressure (Pplateau) and the Positive End-Expiratory Pressure (PEEP), and estimates the lung strain.
The incidence of EFL and the importance of DP are not known in adult cardiac surgery, so it's necessary a study to assess both. The primary end-point of the study is to evaluate the correlation of DP and EFL with PPCs in adult cardiac surgery. The secondary end-point of the study is to evaluate: the mechanical ventilation time, the length of ICU and hospital stay, the rehospitalization and mortality.
It will be a prospective, observational, non-pharmacological study. It will enroll 200 patients undergoing elective adult cardiac surgery.
Conditions
- Respiratory Failure
- Pneumothorax
- Atelectasis
- Respiratory Infection
- Bronchospasm
- Pleural Effusion
Sponsors & Collaborators
-
Ospedale San Raffaele
lead OTHER
Principal Investigators
-
Elena Bignami, MD · Ospedale San Raffaele
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2015-11-30
- Primary Completion
- 2017-01-31
- Completion
- 2017-05-31
Countries
- Italy
Study Locations
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