Unique ID issued by UMIN | UMIN000052196 |
---|---|
Receipt number | R000059455 |
Scientific Title | Practical open lung ventilation strategy in the low respiratory compliance cases |
Date of disclosure of the study information | 2023/09/14 |
Last modified on | 2023/12/22 23:57:02 |
Practical open lung ventilation strategy in the low respiratory compliance cases
Quest for practical open lung ventilation strategy
Practical open lung ventilation strategy in the low respiratory compliance cases
Quest for practical open lung ventilation strategy
Japan |
Anaesthesia in obese patients undergoing robot-assisted laparoscopic radical prostatectomy
Anesthesiology |
Others
NO
The pressure-controlled inverse ratio ventilation (PC-IRV) with I:E ratio of 3:1-4:1 under PEEP off reduces physiological dead space effectively. However, PC-IRV with I:E ratio of 3:1-4:1 under PEEP off has a potential risk of hyper-inflation.
We hypothesized that PC-IRV with I:E ratio of 1:1-2:1 under PEEP 5 cmH2O would become a practical and safe open lung ventilation strategy in low respiratory compliance situations.
Efficacy
Exploratory
physiological dead space during ventilation
Interventional
Cross-over
Non-randomized
Open -no one is blinded
Active
4
Treatment
Maneuver |
Using respiratory ventilation (Engstrom Caredtation, GE Healthcare), interventions start after Trendelenburg position and pneumoperitoneum were established. Using PC-VG mode, the target volume is set to 6 -8 ml/kg of ideal body weight. Respiratory rate is set to 12 bpm.
Control; I:E ratio of 1:2, PEEP of 5 cmH2O for 30 min.
Conventional PC-IRV; I:E ratio of 4:1, PEEP of 0 cmH2O for 30 min.
Practical PC-IRV; I:E ratio of 1.5:1, PEEP 5 cmH2O, for 30 min.
High PEEP strategy; I:E ratio of 1:2, PEEP 10 cmH2O, for 30 min.
40 | years-old | <= |
75 | years-old | > |
Male
The study included patients with BMI >25 kg/m2 scheduled to undergo robot-assisted laparoscopic radical prostatectomy.
The exclusion criteria were ASA physical status of 3-5, a history of asthma, pulmonary emphysema, pneumothorax, or lung surgery.
20
1st name | Go |
Middle name | |
Last name | Hirabayashi |
Mizonokuchi Hospital, Teikyo University School of Medicine
Anesthesiology
213-8507
5-1-1 Futako Takatsu-Ku Kawasaki Kanagawa
+81448443333
goh@med.teikyo-u.ac.jp
1st name | Go |
Middle name | |
Last name | Hirabayashi |
Mizonokuchi Hospital, Teikyo University School of Medicine
Anesthesiology
213-8507
5-1-1 Futako Takatsu-Ku Kawasaki Kanagawa
+81448443333
goh@med.teikyo-u.ac.jp
Mizonokuchi Hospital, Teikyo University School of Medicine
Mizonokuchi Hospital, Teikyo University School of Medicine
Other
Clinical trial office, Teikyo University School of Medicine
2-11-1 Kaga Itabashi-Ku Tokyo
03-3964-9358
chiken@med.teikyo-u.ac.jp
NO
2023 | Year | 09 | Month | 14 | Day |
Unpublished
Enrolling by invitation
2023 | Year | 09 | Month | 12 | Day |
2023 | Year | 09 | Month | 12 | Day |
2023 | Year | 09 | Month | 19 | Day |
2026 | Year | 03 | Month | 31 | Day |
2023 | Year | 09 | Month | 13 | Day |
2023 | Year | 12 | Month | 22 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000059455