Influence of Posture and Gas Insufflation on Perioperative Lung Function

NCT ID: NCT00948571

Last Updated: 2011-06-28

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

UNKNOWN

Total Enrollment

60 participants

Study Classification

OBSERVATIONAL

Study Start Date

2009-04-30

Study Completion Date

2012-02-29

Brief Summary

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Perioperative airway resistance and lung function are evaluated perioperatively in patients, who undergo surgical procedures in different postures and with or without gas insufflation into the peritoneal cavity.

Detailed Description

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Lung function, upper and lower airway resistance measurements are performed in patients in prone horizontal or head tilted down (40°) position. Half of the patients with head down position will have surgery in laparoscopic technique (including gas insufflation to achieve a pneumoperitoneum). Measurements are performed on the day prior to surgery, on the morning of surgery, 30 - 45 minutes, 2 hours, and 24 hours after extubation.

Conditions

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Pneumoperitoneum

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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head down, laparoscopic

20 patients with laparoscopic surgery (radical robotic prostatectomy) in head down position

No interventions assigned to this group

head down, open

20 patients undergoing "open"surgery (open radical prostatectomy) in head down position.

No interventions assigned to this group

horizontal, open

20 patients undergoing "open" surgery in horizontal position (open hemicolectomy)

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Patients older than 18 years of age.
* Patients with normal lung function with respect to age, gender and weight. -Patients scheduled for Prostatectomies, robotic Prostatectomies, and open hemicolectomies.

Exclusion Criteria

* Patients younger than 18 years.
* Patients with pathological lung function.
* Patients with with major cardiac disease.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kliniken Essen-Mitte

OTHER

Sponsor Role lead

Responsible Party

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Kliniken Essen-Mitte

Principal Investigators

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Harald Groeben, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Klniken Essen-Mitte

Locations

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Prof. Dr. Harald Groeben

Essen, , Germany

Site Status RECRUITING

Countries

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Germany

Central Contacts

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Harald Groeben, Prof. Dr.

Role: CONTACT

##49201174 ext. 31109

Facility Contacts

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Harald Groeben, Prof. Dr.

Role: primary

##49201174 ext. 31109

References

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Craig DB. Postoperative recovery of pulmonary function. Anesth Analg. 1981 Jan;60(1):46-52. No abstract available.

Reference Type BACKGROUND
PMID: 7006464 (View on PubMed)

Herbstreit F, Peters J, Eikermann M. Impaired upper airway integrity by residual neuromuscular blockade: increased airway collapsibility and blunted genioglossus muscle activity in response to negative pharyngeal pressure. Anesthesiology. 2009 Jun;110(6):1253-60. doi: 10.1097/ALN.0b013e31819faa71.

Reference Type BACKGROUND
PMID: 19417617 (View on PubMed)

Chiu KL, Ryan CM, Shiota S, Ruttanaumpawan P, Arzt M, Haight JS, Chan CT, Floras JS, Bradley TD. Fluid shift by lower body positive pressure increases pharyngeal resistance in healthy subjects. Am J Respir Crit Care Med. 2006 Dec 15;174(12):1378-83. doi: 10.1164/rccm.200607-927OC. Epub 2006 Sep 22.

Reference Type BACKGROUND
PMID: 16998093 (View on PubMed)

Other Identifiers

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06-3085

Identifier Type: -

Identifier Source: org_study_id

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