UMIN-CTR Clinical Trial

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

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Basic information

Public title

The effect of intra-operative mechanical ventilation on postoperative outcomes; Historical control study

Acronym

The effect of intra-operative mechanical ventilation on postoperative outcomes

Scientific Title

The effect of intra-operative mechanical ventilation on postoperative outcomes; Historical control study

Scientific Title:Acronym

The effect of intra-operative mechanical ventilation on postoperative outcomes

Region

Japan


Condition

Condition

Gynecological illness

Classification by specialty

Obstetrics and Gynecology Anesthesiology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

PONV within 24 hours after surgery

Key secondary outcomes

Use of PONV remedy within 24 hours after surgery
Atelectasis score in X-ray immediately after surgery
Postoperative pneumonia
Postoperative complication


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Historical

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment

Interventions/Control_1

Set the end tidal carbon dioxide(EtCO2) in the ventilator to 40-45 mmHg during the surgery

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

60 years-old >=

Gender

Female

Key inclusion criteria

(1) Patients aged 20 to over 60 when acquiring consent
(2) Patients gained consent for participation in this study at their own will

Key exclusion criteria

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

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Moritoki
Middle name
Last name Egi

Organization

kobe university hospital

Division name

Anesthesiology

Zip code

6500017

Address

7-5-2 kusunoki-cho tyuo-ku kobe city

TEL

078-382-6172

Email

anesth@med.kobe-u.ac.jp


Public contact

Name of contact person

1st name Moritoki
Middle name
Last name Egi

Organization

kobe university hospital

Division name

Anesthesiology

Zip code

6500017

Address

7-5-2 kusunoki-cho tyuo-ku kobe city

TEL

078-382-6172

Homepage URL


Email

anesth@med.kobe-u.ac.jp


Sponsor or person

Institute

kobe university hospital

Institute

Department

Personal name



Funding Source

Organization

kobe university hospital

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

IRBcomittee Kobe university hospital

Address

7-5-2 Kusunokityo Kobe City Hyogo

Tel

078-382-5111

Email

moriori@tg8.so-net.ne.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2018 Year 02 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 05 Month 01 Day

Date of IRB

2018 Year 03 Month 30 Day

Anticipated trial start date

2018 Year 07 Month 01 Day

Last follow-up date

2025 Year 06 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2018 Year 01 Month 25 Day

Last modified on

2023 Year 01 Month 30 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032340