- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06426394
Effect of Positive End-expiratory Pressure on Gastic Residual Volume
May 17, 2024 updated by: Duygu Akyol
The Effect of End-expiratory Positive Pressure on Gastric Residual Volume in Elective Pediatric Outpatient Surgery Where Laryngeal Mask is Applied
This study was designed as a prospective observational study.
Study Overview
Status
Not yet recruiting
Conditions
Detailed Description
In this study, it was planned to evaluate the effect of positive end-expiratory pressure on gastric residual volume in patients who will undergo outpatient pediatric surgery with laryngeal mask application on the specified dates.
Patients aged 1-11 years, ASA I-II and undergoing outpatient lower abdominal and genitourinary surgery were included in the study.
Since the use of positive end-expiratory pressure varies in our clinic depending on the anesthesiologist preference, the effect of this application on gastric volume will also be evaluated primarily by recording images with gastric ultrasonography at certain perioperative time periods.
Secondarily, the effect of this positive end-expiratory pressure on mechanical ventilator parameters and airway pressures will be evaluated.
Study Type
Observational
Enrollment (Estimated)
90
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Duygu Akyol, M.d
- Phone Number: +905447616034
- Email: dr.duyguaygun@gmail.com
Study Contact Backup
- Name: Musa Akdağ, M.d
- Phone Number: +905317347672
- Email: musaakdag33@gmail.com
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
- Child
Accepts Healthy Volunteers
Yes
Sampling Method
Probability Sample
Study Population
A total of 90 patients were planned for this study.
Description
Inclusion Criteria:
- Pediatric patients who will undergo elective outpatient minor surgery (lower abdominal and urogenital)
- 1-11 years old
- American Society of Anesthesiology (ASA) classification 1-2 patient groups
- Patients who are fully hungry and whose fasting period is appropriate for their age and diet.
Exclusion Criteria:
- Patients whose fasting period is not appropriate
- Acute abdominal and emergency surgeries
- ASA 3-4 patient group
- Patients with diseases or medication use that will affect gastric emptying time
- Previous nasogastric tube placement and re-operation • Patients with known difficult airway or failure to fit the laryngeal mask
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
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Gastric residual volume
Time Frame: preoperatively, intraoperatively after laryngeal mask placement, before laryngeal mask removal at the end of surgery
|
The primary purpose of this study is to measure gastric residual volume with peroperative gastric ultrasonography measurements.
Gastric residual volume will be calculated according to gastric ultrasonography measurements.
|
preoperatively, intraoperatively after laryngeal mask placement, before laryngeal mask removal at the end of surgery
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Airway pressures
Time Frame: intraoperative process
|
The secondary aim of this study was to evaluate the effect of positive end-expiratory pressures on airway pressures
|
intraoperative process
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
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
- Sharma G, Jacob R, Mahankali S, Ravindra MN. Preoperative assessment of gastric contents and volume using bedside ultrasound in adult patients: A prospective, observational, correlation study. Indian J Anaesth. 2018 Oct;62(10):753-758. doi: 10.4103/ija.IJA_147_18.
- Gunasekaran A, Govindaraj K, Gupta SL, Vinayagam S, Mishra SK. Comparison of Gastric Insufflation Volume Between Ambu AuraGain and ProSeal Laryngeal Mask Airway Using Ultrasonography in Patients Undergoing General Anesthesia: A Randomized Controlled Trial. Cureus. 2022 Aug 11;14(8):e27888. doi: 10.7759/cureus.27888. eCollection 2022 Aug.
- Beck CE, Rudolp D, Becke-Jakob K, Schindler E, Etspuler A, Trapp A, Fink G, Muller-Lobeck L, Roher K, Genahr A, Eich C, Sumpelmann R. Real fasting times and incidence of pulmonary aspiration in children: Results of a German prospective multicenter observational study. Paediatr Anaesth. 2019 Oct;29(10):1040-1045. doi: 10.1111/pan.13725. Epub 2019 Sep 4.
- Fiedler MO, Schatzle E, Contzen M, Gernoth C, Weiss C, Walter T, Viergutz T, Kalenka A. Evaluation of Different Positive End-Expiratory Pressures Using Supreme Airway Laryngeal Mask during Minor Surgical Procedures in Children. Medicina (Kaunas). 2020 Oct 21;56(10):551. doi: 10.3390/medicina56100551.
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 (Estimated)
May 20, 2024
Primary Completion (Estimated)
December 31, 2024
Study Completion (Estimated)
January 31, 2025
Study Registration Dates
First Submitted
May 14, 2024
First Submitted That Met QC Criteria
May 17, 2024
First Posted (Actual)
May 23, 2024
Study Record Updates
Last Update Posted (Actual)
May 23, 2024
Last Update Submitted That Met QC Criteria
May 17, 2024
Last Verified
May 1, 2024
More Information
Terms related to this study
Other Study ID Numbers
- 2023-541
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
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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