Comparison Between Volume Controlled Ventilation and Pressure Controlled Ventilation
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Purpose
To assess the potential benefits on mechanical ventilation plateau pressure of pressure controlled mode versus volume controlled mode for laparoscopic bariatric surgery in obese patients (BMI > 35). High plateau pressures encountered in obese patients due to their reduced pulmonary compliance could be lowered using pressure controlled mechanical ventilation.
| Condition | Intervention |
|---|---|
|
Obesity Reduced Lung Compliance. Anesthesia. Laparoscopy. |
Procedure: Mechanical Ventilation |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind Primary Purpose: Treatment |
- Plateau pressures generated by mechanical ventilation after 45 minutes of pneumoperitoneum.
- Comparison of PaO2 and PaCO2 after 45 minutes of pneumoperitoneum and after 2 hours spent in post-anesthesia care unit ; comparison of total respiratory resistances and peak flow generated between the 2 modes.
| Estimated Enrollment: | 36 |
| Study Start Date: | January 2005 |
| Estimated Study Completion Date: | June 2005 |
All patients are over 18 years old and give their inform consent after approval of the study protocol by an ethic committee. Anesthesia is standardized and all patients are intubated. Precise protocols are used to perform pressure and volume controlled ventilation in order to regulate End-Tidal CO2 between 33 and 35 mmHg. Primary goal is comparison of plateau pressures observed in the 2 ventilation modes after 45 minutes of pneumoperitoneum. Secondary goals are : comparison of PaO2 and PaCO2 after 45 minutes of pneumoperitoneum and after 2 hours spent in post-anesthesia care unit ; comparison of total respiratory resistances and peak flow generated between the 2 modes.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- patients are over 18 years old and give their inform consent
- morbid obesity(BMI>35)
- laparoscopic bariatric surgery
Exclusion Criteria:
-
Contacts and Locations| France | |
| Georges Pompidou European Hospital | |
| Paris, Ile de France, France, 75908 cedex 15 | |
| Principal Investigator: | Philippe CADI, MD | Assistance Publique - Hôpitaux de Paris |
More Information
Additional Information:
Publications:
| ClinicalTrials.gov Identifier: | NCT00224653 History of Changes |
| Other Study ID Numbers: | P040405, PS040405 |
| Study First Received: | September 16, 2005 |
| Last Updated: | April 12, 2006 |
| Health Authority: | France: Ministry of Health |
Keywords provided by Assistance Publique - Hôpitaux de Paris:
|
Obesity. Respiration. Respiration, artificial. Ventilation. Pressure controlled. Volume controlled. |
Additional relevant MeSH terms:
|
Obesity Overnutrition Nutrition Disorders |
Overweight Body Weight Signs and Symptoms |
ClinicalTrials.gov processed this record on May 19, 2013