Unique ID issued by UMIN | UMIN000043252 |
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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 |
Prevention of Perioperative Pulmonary Complications by Lung Recruitment During Laparoscopic Surgery in Trendelenburg Head-down Position
Prevention of Perioperative Pulmonary Complications by Lung Recruitment During Laparoscopic Surgery in Trendelenburg Head-down Position
Prevention of Perioperative Pulmonary Complications by Lung Recruitment During Laparoscopic Surgery in Trendelenburg Head-down Position
Prevention of Perioperative Pulmonary Complications by Lung Recruitment During Laparoscopic Surgery in Trendelenburg Head-down Position
Japan |
Perioperative Complication
Anesthesiology | Intensive care medicine |
Others
NO
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.
Safety,Efficacy
Incidence of hypoxia and Time to onset of hypoxia
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
Interventional
Parallel
Randomized
Individual
Single blind -participants are blinded
Active
YES
YES
Institution is not considered as adjustment factor.
YES
Central registration
2
Treatment
Maneuver |
lung recruitment.
Automatic lung recruitment using the anesthetic machines (with PEEP 15 cmH2O for 30 seconds) will be performed every 30 minutes during laparoscopy.
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).
18 | years-old | <= |
Not applicable |
Male and Female
Patients undergoing low head laparoscopic surgery who are expected to
be laparoscopic for more than 2 hours
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
80
1st name | Yuji |
Middle name | |
Last name | Fujino |
Osaka University
Department of Anesthesiology and Intensive Care Medicine
565-0871
2-15 Yamadaoka, Suita, Osaka, 565-0871, Japan
+81-6-6879-5820
fujino@anes.med.osaka-u.ac.jp
1st name | Yuji |
Middle name | |
Last name | Fujino |
Osaka University
Department of Anesthesiology and Intensive Care Medicine
565-0871
2-15 Yamadaoka, Suita, Osaka, 565-0871, Japan
+81-6-6879-5820
fujino@anes.med.osaka-u.ac.jp
Department of Anesthesiology and Intensive Care Medicine, Osaka University
Self funding
Self funding
Department of Anesthesiology, Toho University Ohashi Medical Center
Ethical Review Board, Osaka University Hospital
2-2 Yamadaoka, Suita city, Osaka, 565-0871 JAPAN
+81662108296
rinri@hp-crc.med.osaka-u.ac.jp
NO
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)
2021 | Year | 02 | Month | 04 | Day |
Unpublished
Preinitiation
2021 | Year | 02 | Month | 04 | Day |
2021 | Year | 03 | Month | 01 | Day |
2023 | Year | 02 | Month | 28 | Day |
2021 | Year | 02 | Month | 04 | Day |
2021 | Year | 02 | Month | 04 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000049359
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