Patients meeting all of the following criteria will be considered for admission to the study: |
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· Undergoing major abdominal surgery, predominantly pancreatic surgery (pancreatectomy), for any reason |
· Require careful postoperative monitoring of blood glucose levels |
· Expected to be under intensive care for ≥ 8 h after surgery |
· Insertion of a multi-lumen central venous catheter for medical reasons (e.g., anaesthesia and operative purposes) |
· Aged 18–80 years |
· Able to understand the design and possible consequences of the clinical study |
In addition, all patients must meet the following criteria, or will not be included in the study: |
· Successful central venous cannulisations with a multi-lumen catheter |
· One lumen is not needed for medical purposes, such as perioperative fluid therapy or medication administration |
Patients fulfilling any of the following criteria will be excluded from the study: |
· History of thrombosis, embolism, or vascular obliteration |
· Bleeding disorders (e.g., thrombocytosis) |
· Acute or chronic cardiac failure |
· Acute or chronic kidney failure (i.e., patients on renal replacement therapy) |
· Evidence of postoperative hyperhydration (pulmonary vascular congestion) |
· Acquired immune deficiency syndrome |
· Receiving immunosuppressive therapy |
· Signs or symptoms of acute or chronic infection |
· No perioperative antibiotic prophylaxis (with mezlocillin 4 g and metronidazole 500 mg, for example) |
· No perioperative prophylaxis to prevent venous thromboembolism (e.g., unfractionated or fractioned/low-molecular weight heparin) |
· The amount of flushing medium administered is > 500 mL |
· Pregnancy or lactation |
· Participation in other clinical studies and observation period of competing studies, respectively |