Cardiopulmonary Effects of Intrathoracic Pressure Overshoot During Carbon Dioxide Insufflation in Thoracoscopic Surgery
NCT02330536 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 232
Last updated 2021-02-24
Summary
Video-assisted thoracoscopic surgery (VATS) has become a standard technique for addressing all types of thoracic pathology. Insufflation of carbon dioxide (CO2) into the operated chest cavity could increase lung collapse and improve surgical field view. The actual thoracic pressure values may not be identical with the presetting on the insufflator display. This overshoot pressure during VATS may compromise cardiac and pulmonary function. The purpose of this study is to evaluate the effects of intrathoracic pressure overshoot during two-lung ventilation on the hemodynamic and respiratory function and clarify the relative safety of two different techniques of insufflation.
Conditions
- Esophageal Neoplasms
Interventions
- DEVICE
-
Insufflation of carbon dioxide (CO2)
After patients were positioned, CO2 was insufflated into right pleural cavity at eight or twenty L/min. during video-assisted thoracoscopic surgery, thoracic pressure, hemodynamic and respiratory parameters were recorded.
Sponsors & Collaborators
-
Daping Hospital and the Research Institute of Surgery of the Third Military Medical University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- DOUBLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 20 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-12-31
- Primary Completion
- 2020-07-31
- Completion
- 2020-07-31
More Related Trials
-
Positive Pressure Therapy to Optimize LUNG Function After Heart Surgery
NCT06611527 ·Status: RECRUITING ·Phase: NA
-
Pulse Pressure Variation Measured During Valsalva Maneuver to Predict Fluid Responsiveness Under Open-chest Condition
NCT02457572 ·Status: COMPLETED
-
During Chest Surgery, One Lung is Isolated From Ventilation to Improve Visibility, With Carbon Dioxide Introduced Between the Lung and Chest Wall (Capnothorax): the Study Seeks to Optimize Ventilation Through Esophageal Pressure Measurement, Reducing Respiratory Complications.
NCT06837636 ·Status: NOT_YET_RECRUITING
-
Rest Ventilatory Parameters Predict Morbidity and Mortality in Thoracic Surgery
NCT03498352 ·Status: COMPLETED
-
Individualized PEEP Titration on Postoperative Pulmonary Complications
NCT06150079 ·Status: COMPLETED ·Phase: NA
-
Effect of Pressure Support Ventilation During Anesthetic Emergence on Postoperative Atelectasis in Infant
NCT05373589 ·Status: UNKNOWN ·Phase: NA
-
Driving Pressure Limited Ventilation During Video-assisted Thoracoscopic Lobectomy
NCT03177564 ·Status: UNKNOWN ·Phase: NA
-
Individual Optimal Positive End-expiratory Pressure During Robot-assisted Laparoscopic Radical Prostatectomy
NCT04085146 ·Status: COMPLETED ·Phase: NA
-
Effects of Individualized PEEP Guided by Driving Pressure on Postoperative Atelectasis in Patients With Morbid Obesity
NCT06181279 ·Status: RECRUITING ·Phase: NA
-
Effect of Positive End-expiratory Pressure on the Gastric Volume
NCT06861569 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Comparison of Volume Controlled Ventilation With 1:1 Inspiratory to Expiratory Ratio and Autoflow-volume Controlled Ventilation in Robot-assisted Laparoscopic Radical Prostatectomy With Steep Trendelenburg Position and Pneumoperitoneum
NCT03202953 ·Status: COMPLETED ·Phase: NA
-
Effects of Positive End-Expiratory Pressure on Biventricular Function During One-Lung Ventilation
NCT02483806 ·Status: COMPLETED ·Phase: NA
-
Permissive Hypercapnia During One Lung Ventilation: Impact on Right Ventricular Systolic and Diastolic Functions During Lung Resection
NCT02519517 ·Status: COMPLETED ·Phase: NA
-
A Multicenter Randomized Controlled Clinical Trial of the Impact of Minimally Invasive Abdominal Surgery Esophageal Pressure Monitoring Guided Individualized PEEP on Postoperative Pulmonary Complications in Obese Patients
NCT06996288 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Evaluation of Pcv-aCO2 in the Fluid Treatment of Abdominal Tumor Patients After Surgery
NCT02977429 ·Status: UNKNOWN ·Phase: NA
-
Correlation Analysis Between Mostcare Parameters and Spontaneous Breathing Trial in Patients After Cardiac Surgery
NCT06230497 ·Status: COMPLETED
-
Determination of the Best Positive End-expiratory Pressure (PEEP)
NCT03969407 ·Status: COMPLETED
-
The Effect of Positive End Expiratory Pressure (PEEP) During Laparoscopic Cholecystectomy
NCT01443962 ·Status: COMPLETED ·Phase: NA
-
Impact of the Transpulmonary Pressure on Right Ventricle Function in Acute Respiratory Distress Syndrome
NCT04184674 ·Status: COMPLETED ·Phase: NA
-
The Effect of Prolonged Inspiratory Time on Gas Exchange During Robot-assisted Laparoscopic Surgery With Steep Trendelenburg Position : A Crossover Randomized Clinical Trial
NCT02966535 ·Status: COMPLETED ·Phase: NA
-
Positive End-expiratory Pressure and Alveolar Recruitment for One Lung Ventilation
NCT01652612 ·Status: COMPLETED ·Phase: NA
-
The Effects of Hyperventilation Prior to CO2 Insufflation During Laparoscopic Cholecystectomy
NCT01182545 ·Status: COMPLETED ·Phase: PHASE1
-
Effect of Applying Cuff Air Leak Pressure as Intraoperative Cuff Pressure on Postoperative Complications
NCT04302142 ·Status: WITHDRAWN ·Phase: NA
-
PAP Therapy in Patients With Obesity Hypoventilation Syndrome
NCT03449641 ·Status: COMPLETED ·Phase: NA
-
Comparison Between Volume Controlled Ventilation and Pressure Controlled Ventilation
NCT00224653 ·Status: COMPLETED ·Phase: NA