UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000029677
Receipt number R000033911
Scientific Title Effect of alveolar recruitment maneuvers and positive end-expiratory pressure on postoperative atelectasis during general anesthesia for the laparoscopic nephrectomy and the robotically-assisted laparoscopic prostatectomy.
Date of disclosure of the study information 2017/11/30
Last modified on 2024/04/29 09:41:25

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Basic information

Public title

Effect of alveolar recruitment maneuvers and positive end-expiratory pressure on postoperative atelectasis during general anesthesia for the laparoscopic nephrectomy and the robotically-assisted laparoscopic prostatectomy.

Acronym

Effect of alveolar recruitment maneuvers and positive end-expiratory pressure for the laparoscopic nephrectomy and the robotically-assisted laparoscopic prostatectomy.

Scientific Title

Effect of alveolar recruitment maneuvers and positive end-expiratory pressure on postoperative atelectasis during general anesthesia for the laparoscopic nephrectomy and the robotically-assisted laparoscopic prostatectomy.

Scientific Title:Acronym

Effect of alveolar recruitment maneuvers and positive end-expiratory pressure for the laparoscopic nephrectomy and the robotically-assisted laparoscopic prostatectomy.

Region

Japan


Condition

Condition

the laparoscopic nephrectomy and the robotically-assisted laparoscopic prostatectomy

Classification by specialty

Urology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Assess the Effecacy of alveolar recruitment maneuvers and positive end-expiratory pressure on postoperative atelectasis during general anesthesia for the laparoscopic nephrectomy and the robotically-assisted laparoscopic prostatectomy.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

postoperative atelectasis

Key secondary outcomes

intraoperative and Postoperative oxygenation


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification

NO

Dynamic allocation

NO

Institution consideration

Institution is not considered as adjustment factor.

Blocking

NO

Concealment

Numbered container method


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

recruitment manuever

Interventions/Control_2

positive end-expiratory pressure

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

90 years-old >

Gender

Male and Female

Key inclusion criteria

Patients undergoing elective, the laparoscopic nephrectomy and the robotically-assisted laparoscopic prostatectomy under general anesthesia

Key exclusion criteria

Abnormal pulmonary function

Target sample size

100


Research contact person

Name of lead principal investigator

1st name Yuka
Middle name
Last name Matsuki

Organization

University of Fukui, Faculty of Medicine Sciences, Fukui, Japan

Division name

Department of Anesthesiology & Reanimatology

Zip code

91011

Address

23-3 Eiheijicho, Yoshidagun, Fukui 910-1193, Japan

TEL

0776618391

Email

ymatsuki@u-fukui.ac.jp


Public contact

Name of contact person

1st name Yuka
Middle name
Last name Matsuki

Organization

University of Fukui, Faculty of Medicine Sciences, Fukui, Japan

Division name

Department of Anesthesiology & Reanimatology

Zip code

9101193

Address

23-3 Eiheijicho, Yoshidagun, Fukui 910-1193, Japan

TEL

0776-61-8391

Homepage URL


Email

ymatsuki@u-fukui.ac.jp


Sponsor or person

Institute

Department of Anesthesiology & Reanimatology, University of Fukui, Faculty of Medicine Sciences, Fukui, Japan

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

University of Fukui, Faculty of Medicine Sciences, Fukui, Japan

Address

23-3 Eiheijicho, Yoshidagun, Fukui 910-1193, Japan

Tel

0776618529

Email

rinsho-rinri@ml.u-fukui.ac.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

2017 Year 11 Month 30 Day


Related information

URL releasing protocol

https://www.apicareonline.com/index.php/APIC/article/view/2407

Publication of results

Unpublished


Result

URL related to results and publications

https://www.apicareonline.com/index.php/APIC/article/view/2407

Number of participants that the trial has enrolled

40

Results

The time depended difference in Crs was significantly higher in the RM group than in the non-RM group. Postoperative atelectasis occurred in one patient in the PEEP group, whose Crs was 34 cmH2O/mL at the time of intubation. In the subgroup with initial low Crs (< 60 cmH2O/mL), the time-dependent difference in Crs was significantly higher in the RM group than the PEEP group.

Results date posted

2024 Year 04 Month 29 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Between 19 patients in the RM group and 17 patients in the PEEP group, no significant differences in patients'demography.

Participant flow

The patients were randomly allocated to either PEEP (5-8 cmH2O plus alveolar RM of 30 cmH2O for 20 sec (RM group) or PEEP (5-8 cmH2O) only (PEEP group). In the RM group, the RM was performed at predetermined several time points and every 30 min during pneumoperitoneum. All patients received volume-guaranteed pressure-controlled ventilation with a tidal volume of 6-8 ml/kg(ideal body weight).

Adverse events

There were no adverse events.

Outcome measures

Time-dependent differences between the groups

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2016 Year 08 Month 27 Day

Date of IRB

2016 Year 10 Month 12 Day

Anticipated trial start date

2016 Year 10 Month 13 Day

Last follow-up date

2020 Year 08 Month 01 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 10 Month 23 Day

Last modified on

2024 Year 04 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000033911