Warm Humid Gas Insufflation for Appendix Removal by Minimally Invasive Surgery Warm Humid Insufflation for Appendix Removal by Minimally Invasive Surgery Trial (WARMIST)
NCT01027455 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL · Enrollment: 190
Last updated 2010-06-25
Summary
In laparoscopic (key-hole) surgery, the use of cold dry carbon dioxide gas to inflate the abdominal cavity for the creation a clear operating field, results in damage to the cavity lining, known as the peritoneum. This has been associated with negative effects on post-operative recovery. Adult studies using warm humidified insufflation gas have indicated possible decreased post-operative pain, reduced narcotic analgesia requirements, decreased fogging of the laparoscopic camera lens, and reduced time to return to normal activities. Cold dry gas during laparoscopic surgery also has potential to cause abnormal decrease in body core temperature (hypothermia). This has been established by trials in adult humans and animal models. The WARMIST study aims to investigate for whether warm humid gas insuflation during laparoscopic removal of the appendix in children reduces intraoperative temperature variations, post-operative pain (indicated by morphine usage and pain scores), length of hospital stay and degree of camera lens fogging, and speed post-operative recovery compared to using cold dry gas insufflation.
Conditions
- Peritoneal Dessication Damage and Inflammation
- Peri-operative Hypothermia
Interventions
- DEVICE
-
Fisher and Paykel Insuflow (MR 860) Surgical Humidification Device
Humidified warm carbon dioxide gas insufflation during laparosopic procedure
- PROCEDURE
-
Laparoscopic Appendicectomy
Dry and Cold carbon dioxide gas insufflation
- PROCEDURE
-
Laparoscopic Appendicectomy
Humidified warm carbon dioxide gas insufflation during laparosopic procedure
Sponsors & Collaborators
-
Auckland District Health Board
collaborator OTHER_GOV -
University of Auckland, New Zealand
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 8 Years
- Max Age
- 14 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2010-03-31
- Primary Completion
- 2011-03-31
- Completion
- 2011-03-31
Countries
- New Zealand
Study Locations
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