About this trial
The incidence of postoperative pulmonary complications (PPCs) ranges from 5% to 33%. PPCs significantly prolong hospital stay, increase the economic burden, and are associated with postoperative mortality at 30 days and 1 year. The occurrence of PPCs is associated with multiple perioperative factors. A multimodal approach may provide better prevention against PPCs. We hypothesize that perioperative prophylactic positive pressure ventilation can reduce the incidence of PPCs in patients undergoing high-risk abdominal surgery.
Eligibility criteria
Qualifiers
Patients who have signed the informed consent form and are willing to comply with the study protocol;
Age ≥ 18 years and ≤ 90 years;
ASA physical status classification I to III;
Scheduled for major elective abdominal surgery;
Disqualifiers
Untreated ischemic heart disease; severe cardiovascular or cerebrovascular disease;
Severe asthma, pulmonary bullae/bullous lung disease, pneumothorax, bronchopleural fistula, etc.;
Severe underlying hepatic or renal disease;
Age < 18 years or > 90 years;
Trial design
Treatments tested in this trial
- Conventional Ventilation
- Perioperative positive pressure ventilation
Treatment groups
Locations
Sponsors and collaborators
Jun Zhang
Lead sponsor
Fudan University
Sponsor institution