Comparison of Different Inspiratory to Expiratory Ratios on Respiratory Mechanics and Oxygenation in Robot-assisted Laparoscopic Radical Prostatectomy With Steep Trendelenburg Position and Pneumoperitoneum
NCT01892449 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 80
Last updated 2014-05-23
Summary
The steep trendelenburg position and pneumoperitoneum during laparoscopic surgery have the potential to cause an adverse effects on respiratory mechanics and gas exchange. Previous studies have proposed that a prolonged I:E ratio ventilation improved respiratory mechanics and gas exchange. Therefore, the aim of this study is to evaluate whether a prolonged I:E ratio ventilation improves gas exchange and respiratory mechanics in patients undergoing robot-assisted laparoscopic radical prostatectomy.
Conditions
- General Anesthesia Using Endotracheal Intubation
Interventions
- OTHER
-
prolonged inspiratory to expiratory (I:E) ratio (1:1)
80 patients are randomly allocated into two groups : prolonged I:E ratio (1:1) (n=40) and conventional I:E ratio (1:2) group (n=40). In the prolonged I:E ratio (1:1), mechanical ventilation is maintained with during I:E ratio 1:1 during steep trendelenburg with pneumoperitoneum.
- OTHER
-
conventional I:E ratio (1:2)
80 patients are randomly allocated into two groups : prolonged I:E ratio (1:1) (n=40) and conventional I:E ratio (1:2) group (n=40). In the conventional I:E ratio (1:2) group (n=40), mechanical ventilation is maintained with during I:E ratio 1:2 during steep trendelenburg with pneumoperitoneum.
Sponsors & Collaborators
-
Yonsei University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 20 Years
- Max Age
- 90 Years
- Sex
- MALE
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-06-30
- Primary Completion
- 2014-02-28
- Completion
- 2014-02-28
Countries
- South Korea
Study Locations
More Related Trials
-
Individual Optimal Positive End-expiratory Pressure During Robot-assisted Laparoscopic Radical Prostatectomy
NCT04085146 ·Status: COMPLETED ·Phase: NA
-
Effect Inverse Ratio Ventilation on Arterial Oxygenation and Respiratory Mechanics During lapaLAR
NCT01897584 ·Status: COMPLETED ·Phase: NA
-
Effects of Different I:E Ratio on Intrapulmonary Shunt Fraction and Oxygenation During One Lung Ventilation in the Lateral Decubitus Position
NCT01499212 ·Status: COMPLETED ·Phase: NA
-
Individualized PEEP and Driving Pressure Ventilation on Postoperative Lung Complications in Robot Prostatectomy Surgery
NCT06909630 ·Status: COMPLETED ·Phase: NA
-
Optimal Interval for Periodic Alveolar Recruitment Maneuvers Achieving 90% Lung Re-expansion During Intraoperative Ventilation
NCT07239557 ·Status: ENROLLING_BY_INVITATION ·Phase: NA
-
Prevention of Postoperative Respiratory Complications
NCT06899295 ·Status: NOT_YET_RECRUITING
-
Volume Controlled Ventilation vs Autoflow-volume Controlled Ventilation
NCT02512120 ·Status: WITHDRAWN ·Phase: NA
-
Driving Pressure-guided PEEP Titration in Robot-assisted Laparoscopic Surgeries
NCT04327193 ·Status: COMPLETED ·Phase: NA
-
The Effect of Prolonged Inspiratory Time on Pulmonary Mechanics in Obese Patients
NCT02961920 ·Status: COMPLETED ·Phase: NA
-
Influence of Inspiratory Pause on Ventilatory Efficiency in Robotic Surgery. A Prospective Paired Study.
NCT05514366 ·Status: COMPLETED ·Phase: NA
-
Effects of PEEP on Optic Nerve Sheath Diameter During Robot-Assisted Laparoscopic Prostatectomy
NCT02516566 ·Status: COMPLETED ·Phase: NA
-
Optimization of PEEP During Laparoscopic Surgery
NCT05222893 ·Status: COMPLETED ·Phase: NA
-
Comparison of Three Modes of Ventilation During Robot-assisted Hysterectomy in Trendelenburg Position
NCT03887949 ·Status: UNKNOWN ·Phase: NA
-
Reverse Trendelenburg Positioning and Its Effect on Outcomes: a Retrospective Study of Consecutive Patients
NCT02984657 ·Status: COMPLETED
-
Effects of 1:1 Inspiratory to Expiratory Ratios on Oxygenation and Intrapulmonary Shunt Fraction During One Lung Ventilation in the Obese Patients
NCT02185378 ·Status: COMPLETED ·Phase: NA
-
Effect of End-inspiratory Pause on Gas Exchange During Mediastinal Mass Excision With CO2 Insufflation and One-lung Ventilation
NCT06956079 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Effect of Patient Position on Arterial, End-tidal and Transcutaneous Carbon Dioxide
NCT03508791 ·Status: UNKNOWN ·Phase: NA
-
Influence of the End-inspiratory Pause on Mechanical Ventilation.
NCT03568786 ·Status: COMPLETED ·Phase: NA
-
Comparison of Volume-controlled and Pressure-controlled Ventilation in Clasp-knife Position
NCT06056401 ·Status: COMPLETED ·Phase: NA
-
Recovery of Ventilation After Anesthesia for Laparoscopic Nephrectomy
NCT04723433 ·Status: COMPLETED ·Phase: NA
-
Intrinsic PEEP During Mechanical Ventilation of Patients With Obesity
NCT01267916 ·Status: COMPLETED ·Phase: NA
-
Prevention of Perioperative Pulmonary Complications by Lung Recruitment During Laparoscopic Surgery
NCT04728945 ·Status: UNKNOWN ·Phase: NA
-
Extubation in the Operating Room After Living Donor Liver Transplantation
NCT04963309 ·Status: COMPLETED
-
Effect of Perioperative Lung Protective Strategies on the Occurrence of Postoperative Pulmonary Complications in Patients Undergoing Lumbar Spinal Surgery in the Prone Position
NCT02373475 ·Status: COMPLETED ·Phase: PHASE4
-
Positive End-expiratory Pressure and Alveolar Recruitment for One Lung Ventilation
NCT01652612 ·Status: COMPLETED ·Phase: NA