Immunologic Effect of Fraction of Inspired Oxygen

NCT ID: NCT04772794

Last Updated: 2021-02-26

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

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-01-13

Study Completion Date

2022-05-31

Brief Summary

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During anesthesia and surgery, oxygen is routinely administered to all patients. Inspired oxygen concentrations, however, vary between 30% - 100% and oxygen is often administered in a seemingly random manner.

Detailed Description

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During anesthesia and surgery, oxygen is routinely administered to all patients. Inspired oxygen concentrations, however, vary between 30% - 100% and oxygen is often administered in a seemingly random manner.A striking conundrum is evident immediately when one review studies on the effects of oxygen on cytokines synthesis. Most investigators have found that hyperoxia enhances proinflammtory cytokines transcription and translations (11). In contrast, hyperparic oxygen has generally been shown to suppress stimulus induced porinflammtory cytokine production (12). Other studies have demonstrated that supplemental oxygen improves inflammatory and immune function (13), and it is not associated with clinically important side effect (14). We therefor undertook the current prospective randomized study to investigate whether perioperative supplemental oxygen (30% versus 80%) on pro and anti-inflammatory response in patients undergoing major abdominal cancer surgeries as our primary outcome.

Conditions

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Immune System

Keywords

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fraction of inspired oxygen hyperoxia immune system

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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hyperoxygenation group

Intraoperative administration of a mixture of 80% oxygen and 20% air

Group Type ACTIVE_COMPARATOR

fraction of inspired oxygen

Intervention Type OTHER

after induction of general anaesthesia, different fraction of inspired oxygen will be given to patient according to their group allocation

control group

intraoperative administration of 30% oxygen and 70% air

Group Type PLACEBO_COMPARATOR

fraction of inspired oxygen

Intervention Type OTHER

after induction of general anaesthesia, different fraction of inspired oxygen will be given to patient according to their group allocation

Interventions

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fraction of inspired oxygen

after induction of general anaesthesia, different fraction of inspired oxygen will be given to patient according to their group allocation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* candidates for abdominal cancer surgeries

Exclusion Criteria

* Patients with chronic diseases, such as chronic obstructive pulmonary disease or pneumonia,
* body mass index (BMI) \>35 kg/m2,
* severe malnutrition (albumin \<3),
* leukopenia (white blood cell \<4,000 g/dL),
* surgery within the previous 30 days and
* O2 saturation \< 90%, as measured using a pulse oximeter
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Shereen Mamdouh

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Assiut University

Asyut, , Egypt

Site Status RECRUITING

Countries

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Egypt

Central Contacts

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Shereen M Kamal, Associate Professor

Role: CONTACT

Phone: 01006279209

Email: [email protected]

Facility Contacts

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Shereen M Kamal, Degree

Role: primary

Rania M Abdelemam, Lecturer

Role: backup

Other Identifiers

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519

Identifier Type: -

Identifier Source: org_study_id