- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06473194
This Study Assess Some Physiological Parameters, Blood Picture, and Hemodynamic Parameters, Blood Pressure, Respiratory Assess by SPO2, During Different Periods in Laparoscopic Surgery (laparoscopy)
June 21, 2024 updated by: Mohammed Abdulhameed
Physiological and Biochemical Effects of Laparoscopic Anesthesia and Surgery
Laparoscopic surgery is widely used now.
These benefits included many items, e.g.
reducing post-operative pain, cosmetic the result was improved, and the patient also had more satisfaction for the patient and reduced hospital stay.
This surgery involved insufflation of gas into the peritoneal cavity, producing pneumoperitoneum, and causing an increase in intra-abdominal pressure.
The raised intraabdominal pressure of the pneumoperitoneum, the patient's position alteration, and the absorption of carbon dioxide into the abdomen have a direct effect on causing a change in physiology, especially in the cardiovascular and respiratory systems.
These effects, as well as a direct effect of gas insufflation, may have significant effects on the patient especially if the patient has a comorbidity or is elderly.
Study Overview
Status
Not yet recruiting
Conditions
Detailed Description
The objective of this study was to assess the technique used in laparoscopic surgery and their associated complications, including some hematological parameters, (these include blood pictures and liver enzymes), respiratory, (including the inspired and expired tidal volume, oxygen saturation, airway pressure, plateau pressure, and use of PEEP) cardiovascular system (including the systolic, diastolic, and mean blood pressure, heart rate)
Study Type
Interventional
Enrollment (Estimated)
60
Phase
- Not Applicable
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: Mohammed Ab. younis, PHD
- Phone Number: 009647801870904
- Email: mohammedhameed330@gmail.com
Study Contact Backup
- Name: wissem H. HMIDA, PROFF.
- Phone Number: +21698452331
- Email: hmidawissem@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
- Adult
Accepts Healthy Volunteers
Yes
Description
Inclusion Criteria:
- elective abdominal surgery
- a healthy, fit person
- use of general anesthetics
- use of pneumoperitoneum and CO2 insufflation
Exclusion Criteria:
- emergency condition
- patient with cardiovascular disease
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
- Primary Purpose: Basic Science
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: age , gender
group according to age and according to gender
|
this research will involve the selection of elective cases with ASA class I or II and assessment of patients with respiratory cardiovascular parameters and hematology perioperative
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
blood pressure.
Time Frame: during preoperative, 5 minute, intraoperative every five minute with post operative read after one hour
|
blood pressure in mmHg, pulse rate in beat per minute
|
during preoperative, 5 minute, intraoperative every five minute with post operative read after one hour
|
|
AST and ALT liver enzymes were measured, by blood samples taken intravenously in the perioperative period
Time Frame: 5 minute pre-operation and 5 minute postoperative
|
in unit/liter
|
5 minute pre-operation and 5 minute postoperative
|
|
blood sugar, should measured and assessed with different groups
Time Frame: 5 minute during pre-operative and 15 minute post- operative period
|
blood sugar in mg/dl
|
5 minute during pre-operative and 15 minute post- operative period
|
|
end-tidal Co2, measured and compared statistically with other parameter
Time Frame: perioperatively every 5 minute
|
End-tidal Co2 in CMH2O
|
perioperatively every 5 minute
|
|
pulse rate measured continuously during intra-operative and compared with other hemodynamic parameter
Time Frame: 5 minute during preoperative, and continue every 5 minute in perioperatively
|
beat per minute (BPM)
|
5 minute during preoperative, and continue every 5 minute in perioperatively
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
measurement of body weight
Time Frame: measured preoperative period by 5 minute and post-operative during 15 minute
|
in Kg
|
measured preoperative period by 5 minute and post-operative during 15 minute
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Study Director: hussam Mu. Kareem, PHD, Ministry of health
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
- Crema E, Ribeiro EN, Hial AM, Alves Junior JT, Pastore R, Silva AA. Evaluation of the response of cortisol, corticotropin and blood platelets kinetics after laparoscopic and open cholecystectomy. Acta Cir Bras. 2005 Sep-Oct;20(5):364-7. doi: 10.1590/s0102-86502005000500005. Epub 2005 Sep 5.
- Celep RB, Kahramanca S, Ozsoy M, Azili C, Cetinkunar S, Hasdemir AO, Guzel H, Ozgehan G, Colhan I, Kucukpinar TH. Effects of intraabdominal pressure on mean platelet volume during laparoscopic cholecystectomy. Turk J Med Sci. 2014;44(3):360-4. doi: 10.3906/sag-1304-23.
- Bitkin A, Aydin M, Irkilata L, Keles M, Akgunes E, Ocak S, Atilla MK. Effect of Intra-abdominal Pressure Rise on Hematological Parameters in Laparoscopic Urologic Surgery. J Coll Physicians Surg Pak. 2018 Sep;28(9):699-702. doi: 10.29271/jcpsp.2018.09.699.
- Sen MC, Turkyilmaz Z, Sonmez K, Karabulut R, Kaya Z, Yenicesu I, Gursel T, Basaklar AC. The Effect of Carbon Dioxide Insufflation Applied at Different Pressures and Periods on Thrombotic Factors. Indian J Hematol Blood Transfus. 2016 Mar;32(1):87-91. doi: 10.1007/s12288-015-0517-2. Epub 2015 Feb 15.
- Hasukic S, Kosuta D, Muminhodzic K. Comparison of postoperative hepatic function between laparoscopic and open cholecystectomy. Med Princ Pract. 2005 May-Jun;14(3):147-50. doi: 10.1159/000084630.
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)
October 1, 2024
Primary Completion (Estimated)
October 1, 2026
Study Completion (Estimated)
November 1, 2026
Study Registration Dates
First Submitted
June 1, 2024
First Submitted That Met QC Criteria
June 21, 2024
First Posted (Actual)
June 25, 2024
Study Record Updates
Last Update Posted (Actual)
June 25, 2024
Last Update Submitted That Met QC Criteria
June 21, 2024
Last Verified
June 1, 2024
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- physiological measurement
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
after approval and acceptance these data would be available soon
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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