Perioperative Respiratory Support and Postoperative Outcomes
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorRussian Federation of Anesthesiologists and Reanimatologists
About this trial
This study aims to evaluate the methodology and parameters of perioperative respiratory support (RS) and the frequency of postoperative pulmonary complications (PPCs) in the Russian Federation. The study will analyze respiratory support strategies, equipment availability, and their correlation with PPC outcomes in surgical patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients aged ≥18 years undergoing surgical procedures with general anesthesia and respiratory support.
Disqualifiers
No
Trial population
The study population will include adult patients (aged ≥18 years) undergoing surgical procedures under general anesthesia with respiratory support in participating medical centers across the Russian Federation. The study will focus on a wide range of surgical specialties, including but not limited to general surgery, orthopedics, neurosurgery, vascular surgery, and thoracic surgery. Patients with various comorbidities (e.g., obesity, chronic obstructive pulmonary disease, smoking, sleep apnea) that may influence respiratory support strategies will be included to provide a comprehensive assessment of perioperative respiratory management and its outcomes. No specific exclusion criteria will be applied, allowing for the inclusion of a diverse and representative cohort of surgical patients.
Trial design
Design model
Cohort
Time perspective
Prospective
Treatments tested in this trial
Not listed
Trial groups
No trial groups listed
Trial outcomes
Primary outcomes
1
Incidence of Postoperative Pulmonary Complications (PPCs)
The frequency of postoperative pulmonary complications (PPCs) will be measured, including conditions such as atelectasis, hypoxemia, pneumonia, acute respiratory distress syndrome (ARDS), and bronchospasm. PPCs will be evaluated based on clinical and diagnostic criteria following surgery.
Time frame
30 days after surgerySecondary outcomes
1
Level of end-expiratory pressure during anesthesia
The level of end-expiratory pressure during anesthesia used by the anesthesiologist will be assessed
Time frame
During surgery (intraoperative period).2
Use of Alveolar Recruitment Maneuvers During Anesthesia
The frequency of alveolar recruitment maneuvers used during general anesthesia will be assessed.
Time frame
During surgery (intraoperative period).3
Frequency of Non-Invasive Ventilation and High-Flow Oxygen Therapy Post-Extubation
The frequency of non-invasive ventilation (NIV) and high-flow oxygen therapy (HFOT) applied after extubation will be evaluated to determine their role in preventing PPCs.
Time frame
30 days after surgery4
Duration of Intraoperative and Postoperative Mechanical Ventilation
Duration of Intraoperative and Postoperative Mechanical Ventilation
Time frame
Intraoperative and up to 24 hours postoperatively.Locations
Sponsors and contacts
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Source ClinicalTrials.gov
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