Influence of Tidal Volume on Postoperative Pulmonary Function

NCT ID: NCT00795964

Last Updated: 2010-09-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

101 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-09-30

Study Completion Date

2010-09-30

Brief Summary

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Lung function impairment is common after abdominal surgery. Few preventive strategies exist against postoperative lung function impairment. A new potential preventive strategy against postoperative lung function impairment comes from research on critically ill patients with severe respiratory failure. In this field research has long focused on influence of breathing volume (= tidal volume) during mechanical ventilation on outcome. It has been shown, that low tidal volumes improve patients outcomes as compared to (conventional) high tidal volumes. Therefore, we propose a patient and investigator blinded randomised trial to test the hypotheses that intraoperative mechanical ventilation with low tidal volumes as compared to high tidal volumes reduces postoperative lung function impairment in high risk patients.

Detailed Description

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Conditions

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Pulmonary Function

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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1

intraoperative mechanical ventilation with 6 ml/kg predicted body weight

Group Type EXPERIMENTAL

Randomized application of intraoperative tidal volume

Intervention Type OTHER

intraoperative mechanical ventilation with 6 ml/kg predicted body weight

2

intraoperative mechanical ventilation with 12 ml/kg predicted body weight

Group Type ACTIVE_COMPARATOR

Randomized application of intraoperative tidal volume

Intervention Type OTHER

intraoperative mechanical ventilation with 12 ml/kg predicted body weight

Interventions

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Randomized application of intraoperative tidal volume

intraoperative mechanical ventilation with 6 ml/kg predicted body weight

Intervention Type OTHER

Randomized application of intraoperative tidal volume

intraoperative mechanical ventilation with 12 ml/kg predicted body weight

Intervention Type OTHER

Other Intervention Names

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Respiratory management Respiratory management

Eligibility Criteria

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Inclusion Criteria

* written informed consent
* age ≥ 50 years and ASA classification ≥ II
* elective upper abdominal surgery of at least 3 hours duration
* general anaesthesia plus epidural anaesthesia.

Exclusion Criteria

* \< 18 years of age
* impaired mental state
* unwillingness to participate
* pregnancy
* duration of surgery \< 3 hours
* ASA physical status ≥ IV
* increased intracranial pressure
* neuromuscular disease that impairs spontaneous breathing
Minimum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Heinrich-Heine University, Duesseldorf

OTHER

Sponsor Role lead

Responsible Party

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Department of Anesthesiology

Principal Investigators

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Tanja A Meyer-Treschan, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Anesthesiology at Duesseldorf University Hospital

Locations

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Department of Anesthesiology

Düsseldorf, , Germany

Site Status

Countries

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Germany

Other Identifiers

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Intraoperative tidalvolume-25

Identifier Type: -

Identifier Source: org_study_id