UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000043252
Receipt number R000049359
Scientific Title Prevention of Perioperative Pulmonary Complications by Lung Recruitment During Laparoscopic Surgery in Trendelenburg Head-down Position
Date of disclosure of the study information 2021/02/04
Last modified on 2021/02/04 17:05:55

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Basic information

Public title

Prevention of Perioperative Pulmonary Complications by Lung Recruitment During Laparoscopic Surgery in Trendelenburg Head-down Position

Acronym

Prevention of Perioperative Pulmonary Complications by Lung Recruitment During Laparoscopic Surgery in Trendelenburg Head-down Position

Scientific Title

Prevention of Perioperative Pulmonary Complications by Lung Recruitment During Laparoscopic Surgery in Trendelenburg Head-down Position

Scientific Title:Acronym

Prevention of Perioperative Pulmonary Complications by Lung Recruitment During Laparoscopic Surgery in Trendelenburg Head-down Position

Region

Japan


Condition

Condition

Perioperative Complication

Classification by specialty

Anesthesiology Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The purpose of this study is to verify
whether the lung recruitment during laparoscopic surgery in Trendelenburg
head-down position prevents hypoxemia due to lung collapse.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Incidence of hypoxia and Time to onset of hypoxia

Key secondary outcomes

Rate of decrease in SpO2
Ventilator setting at the end of surgery
Compliance rate of lung recruitment
Safety endpoint: Circulatory agonist use
Circulatory agonist use, total fluid infusion, the incidence of complications


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Single blind -participants are blinded

Control

Active

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is not considered as adjustment factor.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

lung recruitment.
Automatic lung recruitment using the anesthetic machines (with PEEP 15 cmH2O for 30 seconds) will be performed every 30 minutes during laparoscopy.

Interventions/Control_2

Standard ventilatory management.
After tracheal intubation, standard ventilatory management (metered ventilation) should be performed with the following initial settings, and rescue should be performed when hypoxemia occurs,if necessary. [initial setting] PEEP 4cmH2O, FIO2 0.3 Ventilation rate: 6-8 ml/kg predicted body weight(PBW).

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

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Patients undergoing low head laparoscopic surgery who are expected to
be laparoscopic for more than 2 hours

Key exclusion criteria

Lateral or supine position
BMI > 35
One-second rate <70%, %VC <80%, obstructive, restrictive, with bra
Cardiovascular disease (NYHA III or higher)
Intracranial hypertensive disease
Emergency surgery
Pregnancy
Patients judged unsuitable by the anesthesiologist in charge

Target sample size

80


Research contact person

Name of lead principal investigator

1st name Yuji
Middle name
Last name Fujino

Organization

Osaka University

Division name

Department of Anesthesiology and Intensive Care Medicine

Zip code

565-0871

Address

2-15 Yamadaoka, Suita, Osaka, 565-0871, Japan

TEL

+81-6-6879-5820

Email

fujino@anes.med.osaka-u.ac.jp


Public contact

Name of contact person

1st name Yuji
Middle name
Last name Fujino

Organization

Osaka University

Division name

Department of Anesthesiology and Intensive Care Medicine

Zip code

565-0871

Address

2-15 Yamadaoka, Suita, Osaka, 565-0871, Japan

TEL

+81-6-6879-5820

Homepage URL


Email

fujino@anes.med.osaka-u.ac.jp


Sponsor or person

Institute

Department of Anesthesiology and Intensive Care Medicine, Osaka University

Institute

Department

Personal name



Funding Source

Organization

Self funding

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor

Department of Anesthesiology, Toho University Ohashi Medical Center

Name of secondary funder(s)



IRB Contact (For public release)

Organization

Ethical Review Board, Osaka University Hospital

Address

2-2 Yamadaoka, Suita city, Osaka, 565-0871 JAPAN

Tel

+81662108296

Email

rinri@hp-crc.med.osaka-u.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

大阪大学医学部附属病院(大阪府)、東邦大学医療センター大橋病院(東京都)


Other administrative information

Date of disclosure of the study information

2021 Year 02 Month 04 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

Preinitiation

Date of protocol fixation

2021 Year 02 Month 04 Day

Date of IRB


Anticipated trial start date

2021 Year 03 Month 01 Day

Last follow-up date

2023 Year 02 Month 28 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2021 Year 02 Month 04 Day

Last modified on

2021 Year 02 Month 04 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000049359


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name