Respiratory Measurement Using Infrared Camera and Electrical Impedance Tomography for Sedation in Patients Undergoing TURP/TURB Under Spinal Anesthesia

NCT ID: NCT05591469

Last Updated: 2022-10-24

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-09-01

Study Completion Date

2023-11-30

Brief Summary

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Tidal volume may be the most important technical indicator for ventilation. Measuring tidal volume can be used as an indicator of how effective a patient's gas exchange is, and can also be used as a predictive indicator to indirectly predict the severity of respiratory disease. This tidal volume can be measured using spirometry and pneumotachograph, and the lung function of the patient can be assessed directly or indirectly through the respiratory volume and air flow velocity. In addition, the measurement itself can change the patient's breathing pattern, and for accurate measurement, it has to be carried out in a certain space, so there is a limitation in that it is difficult to measure in a hospital bed or in a laboratory. To overcome this limitation, various methods have been introduced. The basic principle is that the tidal volume is directly proportional to the movement of the chest and proportional to the change in the length of the circumference of the chest. Over the past decade, several studies have been conducted to measure respiratory mechanics in a non-invasive way. Methods using thoracic impedance, acoustic monitoring, strain gauges, and magnetometers have been developed. Non-invasive, non-contact imaging methods have also been developed, such as thermal image, structured light plethysmography (SLP), and optoelectronic plethysmography (OEP). Therefore, in this study, the thoracic movement due to respiration was measured with a non-invasive method (IR camera), and the accuracy was compared through the impedance change obtained through impedance tomography to evaluate the effectiveness of the non-invasive equipment.

Detailed Description

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Conditions

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Patients Undergoing Transurethral Prostate or Cystectomy Under Spinal Anesthesia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Noncontact Respiration monitoring group

Group Type EXPERIMENTAL

IR Camera

Intervention Type DEVICE

the respiration parameters are measured using an IR camera.

Contact Respiration monitoring group

Group Type EXPERIMENTAL

Electrical Impedance Tomography

Intervention Type DEVICE

the respiration parameters are measured using an electrical impedance tomograhy.

Interventions

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IR Camera

the respiration parameters are measured using an IR camera.

Intervention Type DEVICE

Electrical Impedance Tomography

the respiration parameters are measured using an electrical impedance tomograhy.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* A male aged 19 years or older
* normal BMI
* patients undergoing transurethral prostate or cystectomy under spinal anesthesia

Exclusion Criteria

* Presenting alteration in respiratory function detected by functional analysis of lung volume and capacity- pneumonectomy patient, severe ipsilateral destroyed lung patient
* Inability to understand or perform the procedure.
* ASA class 4, 5
Minimum Eligible Age

19 Years

Maximum Eligible Age

99 Years

Eligible Sex

MALE

Accepts Healthy Volunteers

No

Sponsors

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Yonsei University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jeongmin Kim

Role: PRINCIPAL_INVESTIGATOR

Severance Hospital

Locations

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Yonsei University Health System, Severance Hospital

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Jeongmin Kim

Role: CONTACT

+82 10-8926-2684

Facility Contacts

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Jeongmin Kim

Role: primary

+82 10-8926-2684

References

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Kim J, Kwon JH, Kim E, Yoo SK, Shin CS. Respiratory measurement using infrared thermography and respiratory volume monitor during sedation in patients undergoing endoscopic urologic procedures under spinal anesthesia. J Clin Monit Comput. 2019 Aug;33(4):647-656. doi: 10.1007/s10877-018-0214-4. Epub 2018 Nov 14.

Reference Type BACKGROUND
PMID: 30426322 (View on PubMed)

Kwon J, Kwon O, Oh K, Kim J, Shin CS, Yoo SK. Thermodiluted relative tidal volume estimation using a thermal camera in operating room under spinal anesthesia. Biomed Eng Online. 2022 Sep 7;21(1):64. doi: 10.1186/s12938-022-01028-0.

Reference Type BACKGROUND
PMID: 36071495 (View on PubMed)

Other Identifiers

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4-2022-0864

Identifier Type: -

Identifier Source: org_study_id

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