Postoperative Complications Clinical Trial
— DALASOfficial title:
Effect of Dual Acupoints Stimulation on Lung Complication After Abdominal Surgery
Stimulation at acupoints could be of beneficial effects during the perioperative period. In this study the investigators tend to verify the effect of dual acupoints stimulation on pulmonary complications after abdominal surgery in aged patients.
Status | Recruiting |
Enrollment | 268 |
Est. completion date | December 10, 2018 |
Est. primary completion date | December 10, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 65 Years and older |
Eligibility |
Inclusion Criteria: - Informed consented - Scheduled for elective abdominal surgery under general anesthesia - Age >=65 yrs Exclusion Criteria: - Patients with contraindications to transcutaneous electrical stimulation - Patients with difficulty in communication that may confuse follow-up - emergent surgeries - Patients with pneumonia or needed ventilation before surgery - Patients with history of pulmonary surgery - Scheduled surgery involves thoracic manipulations - Patients who attended clinical studies in the last 3 months |
Country | Name | City | State |
---|---|---|---|
China | First Afiliated Hospital of Chongqing Medical University | Chongqing | Chongqing |
China | Xijing Hospital, Fourth Military Medical University | Xi'an | Shaanxi |
China | First Afiliated Hospital of Zhengzhou University | Zhengzhou | Henan |
Lead Sponsor | Collaborator |
---|---|
Fourth Military Medical University |
China,
Guay J, Ochroch EA. Intraoperative use of low volume ventilation to decrease postoperative mortality, mechanical ventilation, lengths of stay and lung injury in patients without acute lung injury. Cochrane Database Syst Rev. 2015 Dec 7;(12):CD011151. doi: 10.1002/14651858.CD011151.pub2. Review. Update in: Cochrane Database Syst Rev. 2018 Jul 09;7:CD011151. — View Citation
Lu Z, Dong H, Wang Q, Xiong L. Perioperative acupuncture modulation: more than anaesthesia. Br J Anaesth. 2015 Aug;115(2):183-93. doi: 10.1093/bja/aev227. Review. — View Citation
Rajamanickam T. Peri-operative care for the elderly. Anaesthesia. 2014 Mar;69(3):284-5. doi: 10.1111/anae.12616. — View Citation
Serpa Neto A, Hemmes SN, Barbas CS, Beiderlinden M, Fernandez-Bustamante A, Futier E, Hollmann MW, Jaber S, Kozian A, Licker M, Lin WQ, Moine P, Scavonetto F, Schilling T, Selmo G, Severgnini P, Sprung J, Treschan T, Unzueta C, Weingarten TN, Wolthuis EK, Wrigge H, Gama de Abreu M, Pelosi P, Schultz MJ; PROVE Network investigators. Incidence of mortality and morbidity related to postoperative lung injury in patients who have undergone abdominal or thoracic surgery: a systematic review and meta-analysis. Lancet Respir Med. 2014 Dec;2(12):1007-15. doi: 10.1016/S2213-2600(14)70228-0. Epub 2014 Nov 13. Review. Erratum in: Lancet Respir Med. 2014 Dec;2(12):e23. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | incidence of pulmonary complications in 30d post-surgery | incidence of pulmonary complications including pneumonia,atelectasis, pleural effusion and respiratory failure | from end of surgery to Day 30 after surgery, totally 30 days | |
Secondary | ICU admission after surgery | incidence of patients admitted to ICU unexpectedly | from end of surgery to Day 30 after surgery, commonly in 24h after surgery | |
Secondary | ICU stay after surgery | Time of patients stayed in ICU | from admission to ICU to being discharged from ICU,averagely 2 days | |
Secondary | Mortality in 30 days after surgery | death of all causes | from end of surgery to Day 30 after surgery, totally 30 days | |
Secondary | incidence of pulmonary complications in 3 days post-surgery | incidence of pulmonary complications including pneumonia,atelectasis, pleural effusion and respiratory failure | from end of surgery to Day 3 after surgery, totally 3 days | |
Secondary | Hospital stay after surgery | Time of patients stayed in hospital after surgery | from end of surgery to being discharged from hospital,averagely 5 days | |
Secondary | expense after surgery | expense of patients after surgery | from end of surgery to being discharged from hospital,averagely 5 days |
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