The Intermittent Pneumoperitoneum Scheme of Work Breaks in Complex Laparoscopic Surgery
NCT01009372 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 56
Last updated 2009-11-06
Summary
Many people spanning from air traffic controllers to simple production line workers share regular compulsive breaks to revert fatigue whilst they work. This is uncommon for medical operators - a macho image is still as prevalent in real life as it is in countless TV series.
We report on the first clinical trial on regular intraoperative breaks. For one time we turned our scientific curiosity to ourselves. This included the intraoperative collection of body fluids and required transparency which was not easy to obtain. It was rewarded with striking results: Regular intraoperative breaks lowered significantly the operators stress hormone levels, improved error-performance testing results and musculoskeletal fatigue scores. Subjectively the breaks enhanced the practitioners satisfaction.
Surprisingly the operator's breaks were not at the cost of the patient: because the did not prolong the overall operation time at all and - in our setting- they significantly increased of cardiac output and urine production.
Conditions
- Stress Physiology
- Staff Work Load
- Artificial Pneumoperitoneum
- Anuria
Interventions
- BEHAVIORAL
-
IPP
Institution of intraoperative breaks for the surgeon with release of pneumoperitoneum for patient
Sponsors & Collaborators
-
Technische Universität Dresden
collaborator OTHER -
University of Zurich
collaborator OTHER -
Hannover Medical School
lead OTHER
Principal Investigators
-
Benno M Ure, PhD · Hannover Medical School, 30625 Hannover
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 4 Weeks
- Max Age
- 14 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2007-01-31
- Primary Completion
- 2008-02-29
- Completion
- 2009-07-31
Countries
- Germany
Study Locations
More Related Trials
-
Feeding Practices After the Surgery and Incidence of Vomiting
NCT04479215 ·Status: UNKNOWN
-
Low vs Standard Pneumoperitoneum Pressure During Single Port Access Laparoscopic for Adnexal Pathology
NCT02625025 ·Status: UNKNOWN ·Phase: NA
-
Decreasing Upper and Shoulder Pain After Laparoscopic Surgery
NCT01433874 ·Status: UNKNOWN ·Phase: PHASE3
-
Exploring the Intervals in Distributed Laparoscopic Skills Training
NCT05834504 ·Status: COMPLETED ·Phase: NA
-
Surgeon Perception of Gastric Decompression at Time of Gynecologic Laparoscopy
NCT06137976 ·Status: COMPLETED ·Phase: NA
-
Randomized Controlled Trail for Post Laparoscopic Pain
NCT02745574 ·Status: UNKNOWN ·Phase: NA
-
Prevalence of Port Site Hernia After Mesh Placement in Laparoscopic Cholecystectomy.
NCT03495557 ·Status: COMPLETED ·Phase: PHASE4
-
Abdominal Pain and Symptoms Post Gastric Sleeve
NCT03456024 ·Status: UNKNOWN
-
Audio Recording During Laparoscopic Surgery
NCT03425175 ·Status: COMPLETED ·Phase: NA
-
Physical and Mental Load in the Surgeon Performing Laparoscopic Tasks
NCT00311285 ·Status: UNKNOWN ·Phase: NA
-
A Simple Clinical Maneuver to Reduce Laparoscopy Induced Shoulder Pain
NCT00575237 ·Status: COMPLETED ·Phase: NA
-
Effect of Intermittent Pedicle Clamping on Hepatocellular Injury During Liver Surgery
NCT01099475 ·Status: COMPLETED ·Phase: NA
-
Interest of the Patient Management by Improved Recovery After Surgery in Percutaneous Vertebroplasty
NCT04453163 ·Status: COMPLETED ·Phase: NA
-
Protocol for Patients Above 75 Years Undergoing Emergency Laparotomy
NCT04293653 ·Status: COMPLETED ·Phase: NA
-
the Effect of Simple Clinical Maneuver on Shoulder and Abdominal Pain a Laparascopic Gynecological Surgery:a Prospective Randomised Trial
NCT01940042 ·Status: COMPLETED ·Phase: NA
-
Off-site Training in Laparoscopy
NCT02243215 ·Status: COMPLETED ·Phase: NA
-
Comparing Skills Acquisition on Different Laparoscopy Software
NCT06255080 ·Status: COMPLETED ·Phase: NA
-
Changes in Cerebral Oxygenation During Laparoscopic Pyloromyotomy
NCT03650842 ·Status: COMPLETED ·Phase: NA
-
Laparoscopic Simulator Training and Its Impact on Surgical Education
NCT00555243 ·Status: COMPLETED ·Phase: NA
-
Pathophysiology of Perioperative Fluid Management in Emergency Laparotomy
NCT03997721 ·Status: COMPLETED
-
Laparoscopic Exploration Versus Abdominal CT Scan
NCT03923647 ·Status: UNKNOWN
-
Laparoscopy Versus Clinical Follow up to Detect Diaphragm Injury
NCT01044550 ·Status: COMPLETED ·Phase: NA
-
Physical Recovery After Laparoscopic vs. Open Liver Resection
NCT04067349 ·Status: COMPLETED ·Phase: NA
-
Sham Feeding Post-operative Infants
NCT03350022 ·Status: COMPLETED ·Phase: NA
-
The Effect of the Steep Trendelenburg Position on Intraocular Pressure
NCT06440642 ·Status: COMPLETED