scholarly journals Non-invasive continuous arterial pressure and pulse pressure variation measured with Nexfin®in patients following major upper abdominal surgery: a comparative study

Anaesthesia ◽  
2016 ◽  
Vol 71 (7) ◽  
pp. 788-797 ◽  
Author(s):  
R. B. P. de Wilde ◽  
F. de Wit ◽  
B. F. Geerts ◽  
A. L. van Vliet ◽  
L. P. H. J. Aarts ◽  
...  
Keyword(s):  
Abdominal Surgery ◽  
Arterial Pressure ◽  
Comparative Study ◽  
Pulse Pressure ◽  
Pulse Pressure Variation ◽  
Pressure Variation ◽  
Non Invasive ◽  
Upper Abdominal Surgery ◽  
Upper Abdominal

Non-invasive, minute-to-minute estimates of systemic arterial pressure and pulse pressure variation using radial artery tonometry

2013 ◽  
Vol 37 (3) ◽  
pp. 197-202 ◽  
Author(s):  
Douglas A. Colquhoun ◽  
Katherine T. Forkin ◽  
Lauren K. Dunn ◽  
David L. Bogdonoff ◽  
Marcel E. Durieux ◽  
...  
Keyword(s):  
Arterial Pressure ◽  
Radial Artery ◽  
Pulse Pressure ◽  
Pulse Pressure Variation ◽  
Systemic Arterial Pressure ◽  
Pressure Variation ◽  
Non Invasive

scholarly journals Non-Invasive Positive airway Pressure thErapy to Reduce Postoperative Lung complications following Upper abdominal Surgery (NIPPER PLUS): protocol for a single-centre, pilot, randomised controlled trial

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e023139 ◽  
Author(s):  
Jane Lockstone ◽  
Ianthe Boden ◽  
Iain K Robertson ◽  
David Story ◽  
Linda Denehy ◽  
...  
Keyword(s):  
High Risk ◽  
Abdominal Surgery ◽  
Usual Care ◽  
Oxygen Therapy ◽  
High Flow ◽  
Single Centre ◽  
Non Invasive ◽  
Upper Abdominal Surgery ◽  
Upper Abdominal ◽  
Therapy Protocol

IntroductionPostoperative pulmonary complications (PPCs) are a common serious complication following upper abdominal surgery leading to significant consequences including increased mortality, hospital costs and prolonged hospitalisation. The primary objective of this study is to detect whether there is a possible signal towards PPC reduction with the use of additional intermittent non-invasive ventilation (NIV) compared with continuous high-flow nasal oxygen therapy alone following high-risk elective upper abdominal surgery. Secondary objectives are to measure feasibility of: (1) trial conduct and design and (2) physiotherapy-led NIV and a high-flow nasal oxygen therapy protocol, safety of NIV and to provide preliminary costs of care information of NIV and high-flow nasal oxygen therapy.Methods and analysisThis is a single-centre, parallel group, assessor blinded, pilot, randomised trial, with 130 high-risk upper abdominal surgery patients randomly assigned via concealed allocation to either (1) usual care of continuous high-flow nasal oxygen therapy for 48 hours following extubation or (2) usual care plus five additional 30 min physiotherapy-led NIV sessions within the first two postoperative days. Both groups receive standardised preoperative physiotherapy and postoperative early ambulation. No additional respiratory physiotherapy is provided to either group. Outcome measures will assess incidence of PPC within the first 14 postoperative days, recruitment ability, physiotherapy-led NIV and high-flow nasal oxygen therapy protocol adherence, adverse events relating to NIV delivery and costs of providing a physiotherapy-led NIV and a high-flow nasal oxygen therapy service following upper abdominal surgery.Ethics and disseminationEthics approval has been obtained from the relevant institution and results will be published to inform future multicentre trials.Trial registration numberACTRN12617000269336; Pre-results.

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