- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06402474
Effect of Two Different Surgical Positions on Pulmonary Functions in Laparoscopic Gastrectomies
May 3, 2024 updated by: İlke Dolgun, Istinye University
The primary purpose of the study is to investigate the effect of the 30° reverse trendelenburg position combined with the sunbed position on respiratory parameters in laparoscopic gastrectomies.
Study Overview
Status
Active, not recruiting
Conditions
Intervention / Treatment
Study Type
Observational
Enrollment (Estimated)
50
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Merkez Mahallesi
-
Istanbul, Merkez Mahallesi, Turkey, 34250
- Istinye University
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
No
Sampling Method
Non-Probability Sample
Study Population
Patients aged 18-65 who underwent laparoscopic sleeve gastrectomy
Description
Inclusion Criteria:
- Patients who can tolerate general anesthesia and pneumoperitoneum.
- Patients who can give informed consent for surgery.
- Patients over 18 years of age
- patients with body mass index (BMI) > 30 kg/m2
- Patients with American Society of Anesthesiologists (ASA) physical status I and II
Exclusion Criteria:
- Patients with serious underlying cardiovascular disease (e.g. congestive heart failure, conduction disorders and ischemic heart disease).
- Patients with chronic kidney disease stage 3 or greater (creatinine clearance less than 60 mL/min).
- patients with a history of cerebrovascular disease such as intracranial hypertension, cerebral infarction, cerebral hemorrhage, carotid artery stenosis or cerebral ischemia;
- Patients with a history of chronic lung diseases such as chronic obstructive pulmonary disease, asthma, pulmonary bullae or respiratory failure;
- Patients who have had previous abdominal surgery, including resection of the esophagus, stomach, liver and pancreas.
- Surgeries lasting longer than 90 minutes
- Patients with ASA class IV
- patients with psychiatric disorders
- pregnant or breastfeeding patients
- patients with a history of seizures
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
|
sunbed position
30° reverse trendelenburg legs together 30° hip flexion (sunbed position)
|
30° reverse trendelenburg legs together 30° hip flexion (sunbed position)
|
|
control
30° reverse trendelenburg
|
30° reverse trendelenburg legs together 30° hip flexion (sunbed position)
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
inspiratory pressure
Time Frame: 1 month
|
effect on inspiratory pressure of two different position
|
1 month
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Gao D, Sun L, Wang N, Shi Y, Song J, Liu X, Yang Q, Su Z. Impact of 30 degrees Reserve Trendelenburg Position on Lung Function in Morbidly Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy. Front Surg. 2022 Feb 24;9:792697. doi: 10.3389/fsurg.2022.792697. eCollection 2022.
- Casati A, Comotti L, Tommasino C, Leggieri C, Bignami E, Tarantino F, Torri G. Effects of pneumoperitoneum and reverse Trendelenburg position on cardiopulmonary function in morbidly obese patients receiving laparoscopic gastric banding. Eur J Anaesthesiol. 2000 May;17(5):300-5. doi: 10.1046/j.1365-2346.2000.00662.x.
- Wang Y, Wang H, Wang H, Zhao X, Li S, Chen L. Exploring the intraoperative lung protective ventilation of different positive end-expiratory pressure levels during abdominal laparoscopic surgery with Trendelenburg position. Ann Transl Med. 2019 Apr;7(8):171. doi: 10.21037/atm.2019.03.45.
- Shono A, Katayama N, Fujihara T, Bohm SH, Waldmann AD, Ugata K, Nikai T, Saito Y. Positive End-expiratory Pressure and Distribution of Ventilation in Pneumoperitoneum Combined with Steep Trendelenburg Position. Anesthesiology. 2020 Mar;132(3):476-490. doi: 10.1097/ALN.0000000000003062.
- Mulier JP, Dillemans B, Van Cauwenberge S. Impact of the patient's body position on the intraabdominal workspace during laparoscopic surgery. Surg Endosc. 2010 Jun;24(6):1398-402. doi: 10.1007/s00464-009-0785-8. Epub 2010 Jan 7.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
May 1, 2024
Primary Completion (Estimated)
June 5, 2024
Study Completion (Estimated)
July 15, 2024
Study Registration Dates
First Submitted
May 1, 2024
First Submitted That Met QC Criteria
May 3, 2024
First Posted (Actual)
May 7, 2024
Study Record Updates
Last Update Posted (Actual)
May 7, 2024
Last Update Submitted That Met QC Criteria
May 3, 2024
Last Verified
May 1, 2024
More Information
Terms related to this study
Other Study ID Numbers
- istinye ilke
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
UNDECIDED
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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