Oxygen Peripheral Saturations and Lung Surgery
|Pulmonary Surgical Procedures Recovery Period||Device: Monitoring of tissular oxygenation|
|Study Design:||Observational Model: Cohort
Time Perspective: Prospective
|Official Title:||Evaluation of the Continuous Measurement of Tissular (StO2) and Cerebral (ScO2) Oxygenation During Lung Surgery and During the 6 First Postoperative Hours (Prospective Monocentric Study).|
- Desaturation during surgery and early postoperative recovery whatever the device. [ Time Frame: 6 hours postoperative ]Number of episodes
- Chronology between devices in case of desaturation [ Time Frame: 6 hours post operative ]
- Quality of signal [ Time Frame: 6 hours postoperative ]
|Study Start Date:||November 2010|
|Study Completion Date:||June 2011|
|Primary Completion Date:||June 2011 (Final data collection date for primary outcome measure)|
Pulmonary surgical patients
Patients submitted for scheduled lung surgery requiring one-lung ventilation
Device: Monitoring of tissular oxygenation
Equanox: cerebral oxygenation by spectroscopy, near-infrared through forehead and noninvasive devices
Inspectra: tissular oxygenation by spectroscopy, near-infrared through thenar and noninvasive device
Lung surgery is often complicated by hypoxic evants :
- during one-lung ventilation which leads to changes about ratio in ventilated and perfused lung areas. This blood flow redistribution promotes shunt with a decreased arterial oxygenation and possible hypoxemia.
- during the postoperative period.
Common measure of arterial saturation through SpO2 may miss a great number of hypoxic events with regional impact because a significant decrease in SpO2 occurs for an arterial pressure in oxygen below 60 mmHg. Currently, cerebral and somatic saturation can be monitored non-invasively and continuously via optical sensors applied to the right and left forehead and to the thenar eminence. These devices may help clinicians in the detection of such hypoxemic events.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01255033
|Suresnes, France, 92151|
|Study Chair:||Marc Fischler||Hôpital Foch|