Unique ID issued by UMIN | UMIN000046805 |
---|---|
Receipt number | R000053117 |
Scientific Title | Comparison of ventilatory efficiency between PEEP0cmH2O and PEEP10cmH2O groups using EIT in robot-assisted laparoscopic prostatectomy |
Date of disclosure of the study information | 2022/02/03 |
Last modified on | 2024/09/06 15:10:25 |
Comparison of ventilatory efficiency between PEEP0cmH2O and PEEP10cmH2O groups using EIT in robot-assisted laparoscopic prostatectomy
Ventilation efficiency using EIT in robot-assisted laparoscopic prostatectomy
Comparison of ventilatory efficiency between PEEP0cmH2O and PEEP10cmH2O groups using EIT in robot-assisted laparoscopic prostatectomy
Ventilation efficiency using EIT in robot-assisted laparoscopic prostatectomy
Japan |
prostate cancer
Urology | Anesthesiology |
Malignancy
NO
During general anesthesia, it is well known that alveolar collapse causes a decrease in FRC (functional residual capacity) and an increase in intrapulmonary shunts, which adversely affect oxygenation. Inadequate PEEP can lead to alveolar collapse, and repeated collapse and dilation can cause lung injury. Too high PEEP can cause collapse of the circulation. In particular, robot-assisted laparoscopic prostatectomy (RALP) is associated with insufflation and trendelenburg position, which may lead to intraoperative and postoperative respiratory complications (PPC), and PEEP is thought to be effective in preventing them.However, the appropriate PEEP is unknown.
In this study, we will conduct a randomized controlled trial between two groups, low PEEP group and high PEEP group, with the goal of using EIT to determine the appropriate PEEP level during RALP surgery.
Efficacy
COV (center of ventilation) measured at EIT before intubation, after intubation, trendelenburg position, during pneumoperitoneum, before extubation, and after extubation.
ROI, GI index, lung compliance, Ppeak, and driving Pressure before intubation, after intubation, trendelenburg position, during pneumoperitoneum, before extubation and after extubation.
Effects on circulatory dynamics (HR, MAP, CI, CO, SVV) and blood gases before intubation, after intubation, trendelenburg position, during pneumoperitoneum, after extubation, 4 hours after ICU return, and at ICU discharge.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Dose comparison
2
Prevention
Maneuver |
PEEP10 cmH2O
PEEP0 cmH2O
20 | years-old | <= |
Not applicable |
Male
Adult patients undergoing robot-assisted laparoscopic prostatectomy.
Patients with severe cardiac/pulmonary disease, circulatory instability, inability to wear an EIT belt on the chest, and patients with pacemakers should be excluded.
100
1st name | Masaaki |
Middle name | |
Last name | Michida |
Kawasaki Medical School General Medical Center
Department of Anesthesiology and Intensive Care
700-8505
2-6-1 Nakasange, Kita-ku, Okayama City, Okayama Prefecture
086-225-2111
mitchy0313kw@med.kawasaki-m.ac.jp
1st name | Masaaki |
Middle name | |
Last name | Michida |
Kawasaki Medical School General Medical Center
Department of Anesthesiology and Intensive Care
700-8505
2-6-1 Nakasange, Kita-ku, Okayama City, Okayama Prefecture
086-225-2111
mitchy0313kw@med.kawasaki-m.ac.jp
Kawasaki Medical School General Medical Center
Department of Anesthesiology and Intensive Care
None
Other
Kawasaki Medical School General Medical Center
2-6-1 Nakasange, Kita-ku, Okayama City, Okayama Prefecture
086-225-2111
mitchy0313kw@med.kawasaki-m.ac.jp
NO
2022 | Year | 02 | Month | 03 | Day |
Unpublished
Completed
2022 | Year | 04 | Month | 01 | Day |
2023 | Year | 03 | Month | 14 | Day |
2022 | Year | 04 | Month | 01 | Day |
2024 | Year | 05 | Month | 02 | Day |
2022 | Year | 02 | Month | 02 | Day |
2024 | Year | 09 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000053117