The Effect of Combined General/Epidural Anesthesia Versus General Anesthesia on Diaphragmatic Function
NCT01547416 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2013-07-11
Summary
The aim of this study was to investigate whether robot assisted laparoscopic radical prostatectomy give rise to the impairment of diaphragmatic function postoperatively, and whether combined general/epidural anesthesia could provide better postoperative diaphragmatic function.
Conditions
Interventions
- DRUG
-
epidural 250mL of 0.2% ropivacaine and 2 μg/mL of fentanyl, 5 mL/hr continuous infusion and 0.5 mL bolus dose
Before the induction of anesthesia, epidural catheter was inserted in group GE at T8/9, T9/10, or T10/11 interspinous space with a 17-gauge Tuohy needle in lateral decubitus position and advanced 5 cm cephalad. . Epidural analgesia was maintained using the patient-controlled analgesia technique containing 250 mL of 0.2% ropivacaine and 2 μg/mL fentanyl with setting of 5 mL/hr for continuous infusion and 0.5 mL of bolus dose. Lockout time was set to 15 min. General anesthesia was induced with 2 mg/kg of propofol and 50 mg of rocuronium. After tracheal intubation, anesthesia was maintained with sevoflurane. All the patients were ventilated with controlled mode of 8 mL/kg of ideal body weight and respiratory rate was adjusted to maintain end-tidal carbon dioxide between 35-40 mmHg.
- DRUG
-
no epidural drug administered
Patients allocated to general anesthesia group and DID NOT receive epidural anesthesia. General anesthesia was induced with 2 mg/kg of propofol and 50 mg of rocuronium. After tracheal intubation, anesthesia was maintained with sevoflurane. All the patients were ventilated with controlled mode of 8 mL/kg of ideal body weight and respiratory rate was adjusted to maintain end-tidal carbon dioxide between 35-40 mmHg.
Sponsors & Collaborators
-
Yonsei University
lead OTHER
Principal Investigators
-
Young Jun Oh, M.D. Ph.D. · Severance Hospital, Yonsi University Health System
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 19 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2011-11-30
- Primary Completion
- 2012-03-31
- Completion
- 2012-05-31
Countries
- South Korea
Study Locations
More Related Trials
-
A Comparison of Totally Intravenous and Inhalation Anesthesia for Intraocular Pressure During Robot-Assisted Laparoscopic Radical Prostatectomy
NCT01744262 ·Status: COMPLETED ·Phase: NA
-
Effects Of Anaesthesia on Intraocular Pressure in Robotic Prostate Surgery
NCT07033442 ·Status: COMPLETED ·Phase: NA
-
The Effect of Deep Neuromuscular Blockade on Respiratory Mechanics
NCT04174222 ·Status: COMPLETED ·Phase: NA
-
Effect of Anesthesia on Optic Nerve Sheath Diameter in Patients Undergoing Robot-assisted Laparoscopic Prostatectomy
NCT03271502 ·Status: COMPLETED ·Phase: NA
-
Intraoperative Electrical Impedance Tomography in Obese Patients Undergoing Robotic Assisted Radical Prostatectomy.
NCT04757025 ·Status: UNKNOWN ·Phase: NA
-
The Effects of Epidural Anesthesia on the Bioavailability of Nitric Oxide and Renal Function in Patients Undergoing Laparoscopic Surgery
NCT01325844 ·Status: COMPLETED ·Phase: NA
-
Evaluation of Post-operative Biochemical Recurrence in Patients Submitted to Radical Prostatectomy Under General Opioid-free Anesthesia Compared to Conventional General Anesthesia
NCT03212456 ·Status: UNKNOWN ·Phase: NA
-
A Randomized Study of the Efficacy of Low Venous Pressure General Anesthesia Versus Combined Spinal-Epidural Anesthesia in Decreasing Blood Loss During Prostate Surgery
NCT00200187 ·Status: COMPLETED ·Phase: PHASE2
-
Effect of Optimized PEEP on Mechanical Ventilation During Robot Assisted Laparoscopic Prostatectomy
NCT05669443 ·Status: RECRUITING ·Phase: NA
-
Comparison of Intrathecal Fentanyl or Sufentanil in 1 mg Bupivacaine Spinal Anesthesia for TURP in Elderly Patients
NCT01608334 ·Status: COMPLETED ·Phase: NA
-
Intrathecal Morphine in Robot-assisted Prostatectomy
NCT01991275 ·Status: COMPLETED ·Phase: NA
-
The Effects of Two Different Ventilation Strategies on Lung Ventilation: An Ultrasonographic Evaluation.
NCT03740854 ·Status: UNKNOWN ·Phase: NA
-
The Effect of Different Doses of Remifentanil on Kidney Function During Robot Assisted Prostatectomy - A Retrospective Study
NCT02041559 ·Status: UNKNOWN
-
Feasibility of Day-surgery Management for Patients Undergoing Robotic Radical Prostatectomy: a Randomized Trial
NCT06891664 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Robotic Hemi-Prostatectomy With Urethral Preservation in Low and Intermediate Risk Monolateral Prostate Cancer
NCT05832736 ·Status: RECRUITING ·Phase: NA
-
Lung Protective Ventilation During Robotic Assisted Prostatectomy
NCT02551341 ·Status: COMPLETED ·Phase: PHASE3
-
Evaluating Respiratory Effects of Driving Pressure Guided Mechanical Ventilation Using Electrical Impedance Tomography in Patients Undergoing Robot-Assisted Laparoscopic Radical Prostatectomy
NCT06540794 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
A Study of Effects of Fesoterodine in Men at High Risk for Overactive Bladder/Detrusor Overactivity Post Robotic-Assisted Lap. Prostatectomy
NCT01661166 ·Status: COMPLETED ·Phase: PHASE4
-
Study of Robot-assisted Radical Prostatectomy Performed on Outpatient in Patients With Localized Prostate Cancer
NCT04319146 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
ED50 and ED95 of Intrathecal Hyperbaric Bupivacaine With Fentanyl for Transurethral Prostatectomy in Elderly Patients
NCT03704441 ·Status: COMPLETED ·Phase: NA
-
Effects of Recruitment Maneuver in Patients Undergoing Robotic Assisted Radical Prostatectomy
NCT02013011 ·Status: COMPLETED ·Phase: NA
-
The Impacts of Surgical Visibility Through Deep Neuromuscular Blockade on Intraocular Pressure in Patients Undergoing Robot-Assisted Laparoscopic Radical Prostatectomy
NCT02109133 ·Status: COMPLETED ·Phase: NA
-
Analysis of Change of Optic Nerve Sheath Diameter in Robot Assisted Laparoscopic Radical Prostatectomy
NCT03152981 ·Status: COMPLETED ·Phase: NA
-
Internal Carotid Artery Blood Flow in Robot-Assisted Laparoscopic Prostatectomy
NCT04615494 ·Status: COMPLETED
-
Spinal Anesthesia for Robotic Assisted Laparoscopic Prostatectomy
NCT06860893 ·Status: COMPLETED ·Phase: PHASE4