Unique ID issued by UMIN | UMIN000027532 |
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Receipt number | R000031450 |
Scientific Title | Evaluation of the usefulness of positive end expiratory pressure and recruitment maneuver using change in gas distribution in lung observed from electric impedance tomography device in robotic-assisted laparoscopic prostatectomy during perioperative surgery |
Date of disclosure of the study information | 2017/06/01 |
Last modified on | 2022/07/06 17:07:10 |
Evaluation of the usefulness of positive end expiratory pressure and recruitment maneuver using change in gas distribution in lung observed from electric impedance tomography device in robotic-assisted laparoscopic prostatectomy during perioperative surgery
Usefulness of PEEP and RM in robotic-assisted laparoscopic prostatectomy
Evaluation of the usefulness of positive end expiratory pressure and recruitment maneuver using change in gas distribution in lung observed from electric impedance tomography device in robotic-assisted laparoscopic prostatectomy during perioperative surgery
Usefulness of PEEP and RM in robotic-assisted laparoscopic prostatectomy
Japan |
prostate cancer
Urology | Anesthesiology |
Malignancy
NO
In order to search for more suitable artificial respiration setting to prevent atelectasis or hypoventilation in laparoscopic surgery with trendelenburg position, typified by robotic-assisted laparoscopic prostatectomy, we investigate the usefulness of positive end expiratory pressure and recruitment maneuver from transition of gas distribution change in lung and of functional residual capacity.
Efficacy
Changes in regional lung gas distribution obtained from EIT device and functional residual capacity change suggested by EELI among three groups with different settings of PEEP and RM at 8 time points (at the time of entering the room, introducing the general anesthesia, before starting the operation, 1 hour after the start of pneumoperitoneum and trendelenburg position, 2 hours after the start of pneumoperitoneum and trendelenburg position, immediately after the operation, 5 minutes afuter extubation).
Lung compliance obtained from ventilator and blood gas analysis result obtained by arterial blood sampling among three groups with different settings of PEEP and RM at 8 time points (at the time of entering the room, introducing the general anesthesia, before starting the operation, 1 hour after the start of pneumoperitoneum and trendelenburg position, 2 hours after the start of pneumoperitoneum and trendelenburg position, immediately after the operation, 5 minutes afuter extubation).
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Dose comparison
3
Prevention
Maneuver |
Interventions 1: PEEP (2) RM (-)
Interventions 2: PEEP (10) RM (-)
Interventions 3: PEEP (10) RM (+)
20 | years-old | <= |
100 | years-old | >= |
Male
Adult patients undergoing robotic-assisted laparoscopic prostatectomy with ASA physical status 1-2
Patients under 20 years of age, pregnant women, Hugh-Jones class III or above, patients with bulla in the lung
60
1st name | Kiyoko |
Middle name | |
Last name | Bito |
Showa University
Department of Anesthesiology
1428555
1-5-8, Hatanodai, Shinagawa-ku, Tokyo, Japan
03-3784-8000(ext.3540)
kiyokobitoxxx@s5.dion.ne.jp
1st name | Kiyoko |
Middle name | |
Last name | Bito |
Showa University
Department of Anesthesiology
1428555
1-5-8, Hatanodai, Shinagawa-ku, Tokyo, Japan
03-3784-8000(ext.3540)
kiyokobitoxxx@s5.dion.ne.jp
Showa University
Department of Anesthesiology
Showa University
Department of Anesthesiology
Other
Japan
Showa University Clinical Research Institute for Clinical Pharmacology and Therapeutics|Showa University Hospital Clinical Trial Support Center
1-5-8, Hatanodai, Shinagawa-ku, Tokyo, Japan
03-3784-8000
ctsc.admin@ofc.showa-u.ac.jp
NO
昭和大学病院
2017 | Year | 06 | Month | 01 | Day |
Unpublished
Enrolling by invitation
2016 | Year | 09 | Month | 01 | Day |
2014 | Year | 07 | Month | 24 | Day |
2016 | Year | 09 | Month | 01 | Day |
2020 | Year | 03 | Month | 02 | Day |
2017 | Year | 05 | Month | 29 | Day |
2022 | Year | 07 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031450
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