Sensitivity Training Groups Clinical Trial
Official title:
The Influence of Preoperative Cardiopulmonary Capacity Mesured in MET's (Metabolic Equivalents) on the Perioperative Lactate Level
The aim of this study is to identify if there exists a correlation between the preoperative cardiopulmonary capacity - measured in MET's - and the perioperative lactate serum level.
The determination of the cardiopulmonary (c/p) capacity is very important for the evaluation
of every patient undergoing surgery. The ability to climb at least two flight of stairs is
seen to be an acceptable c/p capacity for surgery. There are several ways to evaluate the
fitness of patients. A common method to estimate the cardiopulmonary capacity is defining
patients through the MET's (metabolic equivalents) scale. MET's can be defined relatively
easy through a simple questionnaire. Patients with a reduced c/p capacity have less than 4
MET's, patients with a relatively good c/p capacity have 4-10 MET's and patients with a
excellent c/p capacity have more than 10 MET's.
The lactate level in blood serum is a common parameter to asses anaerobic metabolism in
patients. A high lactate level correlates with higher mortality rates and outcome.
To yet it is not clear if there exists a correlation between the preoperative
cardiopulmonary capacity measured in MET's and the perioperative lactate level. We
hypothysed that patients with a reduced cardiopulmonary capacity are associated with higher
perioperative lactate levels, as these group of patients compensate the stressors
operation/anesthesia less than patients with a good c/p capacity.
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Observational Model: Cohort, Time Perspective: Prospective
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