Unique ID issued by UMIN | UMIN000030987 |
---|---|
Receipt number | R000032340 |
Scientific Title | The effect of intra-operative mechanical ventilation on postoperative outcomes; Historical control study |
Date of disclosure of the study information | 2018/02/01 |
Last modified on | 2023/01/30 10:51:14 |
The effect of intra-operative mechanical ventilation on postoperative outcomes; Historical control study
The effect of intra-operative mechanical ventilation on postoperative outcomes
The effect of intra-operative mechanical ventilation on postoperative outcomes; Historical control study
The effect of intra-operative mechanical ventilation on postoperative outcomes
Japan |
Gynecological illness
Obstetrics and Gynecology | Anesthesiology |
Malignancy
NO
Complications after general anesthesia include postoperative nausea and vomiting (PONV).In some reports, the risk factors for PONV are female, nonsmokers, a history of PONV and a history of motion sickness, use of narcotics, use of volatile anesthetics, etc.One study has shown that PONV can be reduced by keeping high end tidal carbon dioxide concentration (EtCO2) during intraoperative operation.However, there is no study that examined the relationship between intra-operative EtCO 2 and PONV in gynecologic surgery, which is a high risk group of PONV.In our hospital January 2014 - June 2016, the incidence of PONV of gynecologic surgery was 54.4%.The minimum intraoperative EtCO 2 was significantly lower in the PONV group and the cutoff value for PONV was 32 mm Hg.The purpose of this study is to investigate whether PONV will occur in intervention group keeping the intrao-perative EtCO2 value at 40 - 45 mmHg compared to group that did not set EtCO2 high (EtCO2 <40 mm Hg) in January 2014 - March 2018 by using a propenity score.
Efficacy
PONV within 24 hours after surgery
Use of PONV remedy within 24 hours after surgery
Atelectasis score in X-ray immediately after surgery
Postoperative pneumonia
Postoperative complication
Interventional
Single arm
Non-randomized
Open -no one is blinded
Historical
1
Treatment
Device,equipment |
Set the end tidal carbon dioxide(EtCO2) in the ventilator to 40-45 mmHg during the surgery
20 | years-old | <= |
60 | years-old | >= |
Female
(1) Patients aged 20 to over 60 when acquiring consent
(2) Patients gained consent for participation in this study at their own will
Patients applicable to one or more of the following are excluded.
(1) Patients with ASA risk classification of 3 or more
(2) Patients with BMI 30 kg / m 2
(3) Other patients judged inappropriate by the person in charge of this study
100
1st name | Moritoki |
Middle name | |
Last name | Egi |
kobe university hospital
Anesthesiology
6500017
7-5-2 kusunoki-cho tyuo-ku kobe city
078-382-6172
anesth@med.kobe-u.ac.jp
1st name | Moritoki |
Middle name | |
Last name | Egi |
kobe university hospital
Anesthesiology
6500017
7-5-2 kusunoki-cho tyuo-ku kobe city
078-382-6172
anesth@med.kobe-u.ac.jp
kobe university hospital
kobe university hospital
Other
IRBcomittee Kobe university hospital
7-5-2 Kusunokityo Kobe City Hyogo
078-382-5111
moriori@tg8.so-net.ne.jp
NO
2018 | Year | 02 | Month | 01 | Day |
Unpublished
Completed
2017 | Year | 05 | Month | 01 | Day |
2018 | Year | 03 | Month | 30 | Day |
2018 | Year | 07 | Month | 01 | Day |
2025 | Year | 06 | Month | 30 | Day |
2018 | Year | 01 | Month | 25 | Day |
2023 | Year | 01 | Month | 30 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032340