Suspension of Mechanical Ventilation in Ureteroscopic Lithotripsy Under General Anesthesia

NCT ID: NCT01835600

Last Updated: 2013-04-19

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

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-04-30

Study Completion Date

2013-11-30

Brief Summary

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For some upper ureteral and renal stones,ureteroscopic lithotripsy needs to be performed under general anesthesia with interrupted suspension of mechanical ventilation, which could result in hypercapnia and hypoxia. In this study, the investigators hypothesize that 10 cmH2O PEEP added to the respiratory circuit with 1 L/min 100% oxygen might extend the time of ventilation suspension but have no effect on carbon dioxide retention in blood.

Detailed Description

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For some upper ureteral and renal stones,ureteroscopic lithotripsy is often perdurbed by the patient's respiratory movement either under epidural anesthesia or general anesthesia with mechanical ventilation. So intermittent suspension of mechanical ventilation under general anesthesia can ensure the surgery to be performed continuously and successfully. But this could result in hypercapnia and hypoxia. So far, there have been few studies focused on the change of the internal environment in blood as result of suspending breath. In this study, the investigators hypothesize that 10 cmH2O PEEP added to the respiratory circuit with 1 L/min 100% oxygen might extend the time of ventilation suspension but have no effect on carbon dioxide retention in blood.

Conditions

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Hypercapnia Hypoxia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

Study Groups

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with PEEP

10 cmH2O PEEP added to the respiratory curcuit during suspension of mechanical ventilation

Group Type ACTIVE_COMPARATOR

PEEP

Intervention Type OTHER

PEEP means that when mechanical ventilation is suspended, the value of expiratory valve in the anesthesia machine is set at 10 cmH2O with 1 L/min 100% oxygen.

without PEEP

0 cmH2O PEEP added to the respiratory curcuit during suspension of mechanical ventilation

Group Type PLACEBO_COMPARATOR

No interventions assigned to this group

Interventions

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PEEP

PEEP means that when mechanical ventilation is suspended, the value of expiratory valve in the anesthesia machine is set at 10 cmH2O with 1 L/min 100% oxygen.

Intervention Type OTHER

Other Intervention Names

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positive end-expiratory pressure

Eligibility Criteria

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Inclusion Criteria

ASA I\~III general anesthesia sign the informed consent

Exclusion Criteria

ASA IV or V woman who is pregnant or plans to bear
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Chinese Medical Association

NETWORK

Sponsor Role lead

Responsible Party

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Yi Zhou

Department of Anesthesiology , Changhai Hospital Affiliated to Second Military Medical

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Yi Zhou

Shanghai, Shanghai Municipality, China

Site Status

Countries

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China

Other Identifiers

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SMV-312

Identifier Type: -

Identifier Source: org_study_id

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