Ventilation Distribution After Bariatric Surgery
NCT03975348 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 15
Last updated 2020-07-30
Summary
Obese patients have an increased risk of developing post-operative respiratory complications due to their comorbidities. They have a restrictive ventilatory defect with reduction of lung volumes and expiratory flow limitation, higher airway resistance and collapsibility of the upper respiratory tract. These abnormalities are worsened by general anesthesia and opioid administration. It has been proved that oxygen therapy with HFNC (high flow nasal cannula) increases lung volumes through a continuous positive airway pressure (CPAP)-effect. This also improves gas exchange and decreases anatomical dead space. At the present time, CPAP represents the gold standard for the prevention of postoperative pulmonary complications. The purpose of this study is to evaluate lung ventilation, gas exchange and comfort with HFNC compared with CPAP during the post-operative period in patients who undergo laparoscopic bariatric surgery.
Conditions
- Bariatric Surgery Candidate
- Atelectasis, Postoperative Pulmonary
Interventions
- DEVICE
-
High flow nasal cannula
High flow of warm and humidified oxygen/air mixture delivered through nasal cannula
- DEVICE
-
Continuous positive airway pressure
Positive airway pressure applied through a sealed face mask
- DEVICE
-
Facemask
Oxygen therapy through a conventional facemask
Sponsors & Collaborators
-
University of Trieste
lead OTHER
Principal Investigators
-
Lucia Comuzzi · Azienda Sanitaria Universitaria Integrata di Trieste
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-04-15
- Primary Completion
- 2019-09-30
- Completion
- 2019-09-30
Countries
- Italy
Study Locations
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