Comparison of Minimum Flow and Low Flow Desflurane Anesthesia in Robotic Assisted Laparoscopic Abdominal Surgery

NCT ID: NCT06520943

Last Updated: 2024-07-25

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

NOT_YET_RECRUITING

Total Enrollment

70 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-07-15

Study Completion Date

2024-12-31

Brief Summary

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This study aims to compare the use of low fresh gas flow (1 L/min) desflurane anesthesia with minimum fresh gas flow (0.5 L/min) desflurane anesthesia in patients undergoing robotic-assisted abdominal surgery. The comparison will be based on hemodynamic and respiratory parameters. The secondary aim of our study is to compare the two different fresh gas flow methods in terms of inhalation agent consumption and soda lime consumption.

Detailed Description

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Conditions

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Minimal Flow Anesthesia Low Flow Anesthesia Robotic Assisted Laparoscopic Abdominal Surgery

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Group 1

After intubation, a fresh gas flow of 3 L/min will be applied for the first 20 minutes and then reduced to 0.5 L/min.

blood gas analysis

Intervention Type OTHER

1. Airway pressure (P plateau, Ppeak) values are taken from the anesthesia device data,
2. BIS (from routine BIS monitoring)
3. Temperature (routinely from pharyngeal temperature probe),
4. Oxygen saturation (routinely from the patient monitor)
5. End-tidal CO₂,
6. inspiratory O₂ concentration,
7. Inspiratory CO2 concentration,
8. inspiratory and expiratory desflurane concentrations,
9. tidal volume,
10. MAC is routinely obtained from anesthesia device data.
11. Blood Gas Analysis (COHgb, Ph, PO2, PCO2, SaO2, HCO3, Base deficit, glucose, lactate)

Group 2

After intubation, a fresh gas flow of 3 L/min will be applied for the first 20 minutes and then reduced to 1 L/min.

blood gas analysis

Intervention Type OTHER

1. Airway pressure (P plateau, Ppeak) values are taken from the anesthesia device data,
2. BIS (from routine BIS monitoring)
3. Temperature (routinely from pharyngeal temperature probe),
4. Oxygen saturation (routinely from the patient monitor)
5. End-tidal CO₂,
6. inspiratory O₂ concentration,
7. Inspiratory CO2 concentration,
8. inspiratory and expiratory desflurane concentrations,
9. tidal volume,
10. MAC is routinely obtained from anesthesia device data.
11. Blood Gas Analysis (COHgb, Ph, PO2, PCO2, SaO2, HCO3, Base deficit, glucose, lactate)

Interventions

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blood gas analysis

1. Airway pressure (P plateau, Ppeak) values are taken from the anesthesia device data,
2. BIS (from routine BIS monitoring)
3. Temperature (routinely from pharyngeal temperature probe),
4. Oxygen saturation (routinely from the patient monitor)
5. End-tidal CO₂,
6. inspiratory O₂ concentration,
7. Inspiratory CO2 concentration,
8. inspiratory and expiratory desflurane concentrations,
9. tidal volume,
10. MAC is routinely obtained from anesthesia device data.
11. Blood Gas Analysis (COHgb, Ph, PO2, PCO2, SaO2, HCO3, Base deficit, glucose, lactate)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Patients undergoing robotic-assisted abdominal surgery

Exclusion Criteria

* serious cardiac, respiratory, hepatic, renal, or mental disorders;
* hearing problems;
* anxiety, depression, or other psychiatric conditions;
* patient's request to leave the study
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ankara City Hospital Bilkent

OTHER

Sponsor Role lead

Responsible Party

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Betül Güven

assoc. prof

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Betül Güven Aytaç

Role: PRINCIPAL_INVESTIGATOR

Ankara City Hospital Bilkent

Locations

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Ankara City Hospital

Ankara, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Central Contacts

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Betül Güven Aytaç

Role: CONTACT

+903125662200

Other Identifiers

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TABED1-24-72

Identifier Type: -

Identifier Source: org_study_id

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