Influence of Posture and Gas Insufflation on Perioperative Lung Function
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Purpose
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.
| Condition |
|---|
|
Pneumoperitoneum |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | Influence of Posture, Anesthesia and Surgical Technique on Airway Resistance of the Upper and Lower Airway and Lung Function. |
- Measurement of FEV1 (forced expiratory volume in one second) and the MEF50/MIF50 ratio [ Time Frame: 18 months ] [ Designated as safety issue: No ]
- Changes in nasal airway resistance [ Time Frame: 18 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 60 |
| Study Start Date: | April 2009 |
| Estimated Study Completion Date: | February 2012 |
| Estimated Primary Completion Date: | October 2011 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
head down, laparoscopic
20 patients with laparoscopic surgery (radical robotic prostatectomy) in head down position
|
|
head down, open
20 patients undergoing "open"surgery (open radical prostatectomy) in head down position.
|
|
horizontal, open
20 patients undergoing "open" surgery in horizontal position (open hemicolectomy)
|
Detailed Description:
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.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
20 patients scheduled for "robotic" prostatectomies 20 patients scheduled for open prostatectomies 20 patients scheduled for open hemicolectomies
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.
Contacts and Locations| Contact: Harald Groeben, Prof. Dr. | ##49201174 ext 31109 | h.groeben@kliniken-essen-mitte.de |
| Germany | |
| Prof. Dr. Harald Groeben | Recruiting |
| Essen, Germany, 45136 | |
| Contact: Harald Groeben, Prof. Dr. ##49201174 ext 31109 h.groeben@kliniken-essen-mitte.de | |
| Principal Investigator: Harald Groeben, Prof. Dr. | |
| Principal Investigator: | Harald Groeben, Prof. Dr. | Klniken Essen-Mitte |
More Information
Publications:
| Responsible Party: | Prof. Dr. Harald Groeben, Kliniken Essen-Mitte |
| ClinicalTrials.gov Identifier: | NCT00948571 History of Changes |
| Other Study ID Numbers: | 06-3085 |
| Study First Received: | July 28, 2009 |
| Last Updated: | June 27, 2011 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Keywords provided by Kliniken Essen-Mitte:
|
Vital capacity, FEV1, airway resistance perioperative changes in lung function |
Additional relevant MeSH terms:
|
Pneumoperitoneum Peritoneal Diseases Digestive System Diseases |
ClinicalTrials.gov processed this record on May 21, 2013