Trial Outcomes & Findings for Effect of Pulmonary Recruitment Maneuver (PRM) on Pain and Nausea After Laparoscopic Bariatric Surgery (NCT NCT03026530)

NCT ID: NCT03026530

Last Updated: 2018-12-05

Results Overview

A questionnaire with a numeric rating scale (NRS) is used to evaluate pain intensity at 4, 12, 24, 36 and 48 hours postoperatively to assess pain intensity. The scale includes even numbers from 0 to 10, where 0 signifies no pain, and 10 signifies the worst imaginable pain.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

200 participants

Primary outcome timeframe

4, 12, 24, 36 and 48 hours after surgery

Results posted on

2018-12-05

Participant Flow

Participant milestones

Participant milestones
Measure
Pulmonary Recruitment Maneuver
Ventilator-piloted pulmonary recruitment maneuver at the end of laparoscopic bariatric surgery. Pulmonary recruitment maneuver: The participants in the experimental arm receives 1 minute of ventilator-piloted pulmonary recruitment with positive inspiratory pressure set to 40 cm H2O, at the end of laparoscopic bariatric surgery. Laparoscopic bariatric surgery Ventilator
Control Group
Ordinary ventilation at the end of laparoscopic bariatric surgery. Laparoscopic bariatric surgery Ventilator
Overall Study
STARTED
100
100
Overall Study
COMPLETED
79
71
Overall Study
NOT COMPLETED
21
29

Reasons for withdrawal

Reasons for withdrawal
Measure
Pulmonary Recruitment Maneuver
Ventilator-piloted pulmonary recruitment maneuver at the end of laparoscopic bariatric surgery. Pulmonary recruitment maneuver: The participants in the experimental arm receives 1 minute of ventilator-piloted pulmonary recruitment with positive inspiratory pressure set to 40 cm H2O, at the end of laparoscopic bariatric surgery. Laparoscopic bariatric surgery Ventilator
Control Group
Ordinary ventilation at the end of laparoscopic bariatric surgery. Laparoscopic bariatric surgery Ventilator
Overall Study
Lost to Follow-up
19
24
Overall Study
Protocol Violation
2
5

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Pulmonary Recruitment Maneuver
n=79 Participants
Ventilator-piloted pulmonary recruitment maneuver at the end of laparoscopic bariatric surgery. Pulmonary recruitment maneuver: The participants in the experimental arm receives 1 minute of ventilator-piloted pulmonary recruitment with positive inspiratory pressure set to 40 cm H2O, at the end of laparoscopic bariatric surgery. Laparoscopic bariatric surgery Ventilator
Control Group
n=71 Participants
Ordinary ventilation at the end of laparoscopic bariatric surgery. Laparoscopic bariatric surgery Ventilator
Total
n=150 Participants
Total of all reporting groups
Age, Continuous
47 years
n=79 Participants
44 years
n=71 Participants
46 years
n=150 Participants
Sex: Female, Male
Female
67 Participants
n=79 Participants
54 Participants
n=71 Participants
121 Participants
n=150 Participants
Sex: Female, Male
Male
12 Participants
n=79 Participants
17 Participants
n=71 Participants
29 Participants
n=150 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Region of Enrollment
Sweden
79 participants
n=79 Participants
71 participants
n=71 Participants
150 participants
n=150 Participants
BMI
38 kg/m2
n=79 Participants
38 kg/m2
n=71 Participants
38 kg/m2
n=150 Participants

PRIMARY outcome

Timeframe: 4, 12, 24, 36 and 48 hours after surgery

A questionnaire with a numeric rating scale (NRS) is used to evaluate pain intensity at 4, 12, 24, 36 and 48 hours postoperatively to assess pain intensity. The scale includes even numbers from 0 to 10, where 0 signifies no pain, and 10 signifies the worst imaginable pain.

Outcome measures

Outcome measures
Measure
Pulmonary Recruitment Maneuver
n=79 Participants
Ventilator-piloted pulmonary recruitment maneuver at the end of laparoscopic bariatric surgery. Pulmonary recruitment maneuver: The participants in the experimental arm receives 1 minute of ventilator-piloted pulmonary recruitment with positive inspiratory pressure set to 40 cm H2O, at the end of laparoscopic bariatric surgery. Laparoscopic bariatric surgery Ventilator
Control Group
n=71 Participants
Ordinary ventilation at the end of laparoscopic bariatric surgery. Laparoscopic bariatric surgery Ventilator
Postoperative Pain
36 hr
2 score on a scale
Interval 1.0 to 3.0
2 score on a scale
Interval 1.0 to 4.0
Postoperative Pain
48 hr
1 score on a scale
Interval 0.0 to 2.0
1 score on a scale
Interval 0.0 to 2.75
Postoperative Pain
4 hr
3 score on a scale
Interval 1.0 to 3.0
2 score on a scale
Interval 1.0 to 4.0
Postoperative Pain
12 hr
2 score on a scale
Interval 1.0 to 4.0
3 score on a scale
Interval 1.0 to 4.0
Postoperative Pain
24 hr
2 score on a scale
Interval 1.0 to 3.0
3 score on a scale
Interval 2.0 to 5.0

SECONDARY outcome

Timeframe: 4, 12, 24, 36 and 48 hours after surgery

A questionnaire was used to evaluate nausea at 4, 12, 24, 36 and 48 hours postoperatively. The questionnaire involved a numeric rating scale (NRS) from 0 to 10, where 0 signified no nausea, and10 the worst imaginable nausea.

Outcome measures

Outcome measures
Measure
Pulmonary Recruitment Maneuver
n=79 Participants
Ventilator-piloted pulmonary recruitment maneuver at the end of laparoscopic bariatric surgery. Pulmonary recruitment maneuver: The participants in the experimental arm receives 1 minute of ventilator-piloted pulmonary recruitment with positive inspiratory pressure set to 40 cm H2O, at the end of laparoscopic bariatric surgery. Laparoscopic bariatric surgery Ventilator
Control Group
n=71 Participants
Ordinary ventilation at the end of laparoscopic bariatric surgery. Laparoscopic bariatric surgery Ventilator
Postoperative Nausea
NRS 12 hr
1 score on a scale
Interval 0.0 to 3.0
1 score on a scale
Interval 0.0 to 2.0
Postoperative Nausea
36 hr
0 score on a scale
Interval 0.0 to 0.0
0 score on a scale
Interval 0.0 to 1.0
Postoperative Nausea
4 hr
1 score on a scale
Interval 0.0 to 3.0
1 score on a scale
Interval 0.0 to 3.0
Postoperative Nausea
24 hr
0 score on a scale
Interval 0.0 to 1.0
0 score on a scale
Interval 0.0 to 1.0
Postoperative Nausea
48 hr
0 score on a scale
Interval 0.0 to 0.0
0 score on a scale
Interval 0.0 to 1.0

Adverse Events

Pulmonary Recruitment Maneuver

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Control Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Kihlstedt Pasquier

Region Ostergotland

Phone: 0046101041000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place