Modes of Ventilation During Laparoscopic Bariatric Surgery
NCT01890564 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 30
Last updated 2014-04-01
Summary
During minimally invasive surgery, a pneumoperitoneum is created to facilitate surgical visualization. Although effective in facilitating the procedure, there are respiratory consequences of the pneumoperitoneum, which significantly increases intra-abdominal pressure (IAP) up to 20 cmH2O. The increased IAP can decrease functional residual capacity and increase closing capacity resulting in increased resistance, decreased compliance, and increased ventilation-perfusion mismatch. In a randomized, cross-over design, this study will evaluate in sequential order, 3 modes of ventilation during laparoscopic bariatric surgery to determine which is better able to support oxygenation and ventilation while limiting the peak inflating pressure (PIP).
Conditions
- Bariatric Surgery
Interventions
- OTHER
-
Pressure controlled ventilation
For pressure controlled ventilation, the peak inflating pressure (PIP) is set for each tidal breath.
- OTHER
-
Volume controlled ventilation
For volume controlled ventilation, the tidal volume is set.
- OTHER
-
PRVC ventilation
Pressure-regulated, volume-controlled (PRVC) is an auto-regulated pressure-controlled mode of mechanical ventilation with a user-selected tidal volume target.
Sponsors & Collaborators
-
Joseph D. Tobias
lead OTHER
Eligibility
- Min Age
- 14 Years
- Max Age
- 20 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-06-30
- Primary Completion
- 2014-01-31
- Completion
- 2014-01-31
Countries
- United States
Study Locations
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