- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07569705
Effect of Transcutaneous Electrical Nerve Stimulation on PODD in Bariatric Surgery Patients
Effect of Transcutaneous Electrical Nerve Stimulation on Postoperative Diaphragmatic Dysfunction in Morbidly Obese Patients Undergoing Bariatric Surgery: A Randomized Controlled Trial
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Bariatric surgery is associated with several postoperative consequences, including challenging pain control, respiratory complications, and diaphragmatic dysfunction. Postoperative diaphragmatic dysfunction is defined as a diaphragmatic excursion of less than 10 mm. There is substantial evidence that diaphragmatic ultrasound provides a reliable and accurate assessment of diaphragmatic function in both intensive care unit and perioperative settings.
The present randomized controlled trial aims to evaluate the influence of transcutaneous electrical nerve stimulation on postoperative diaphragmatic dysfunction in morbidly obese patients undergoing bariatric surgery.
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
- Navn: Mina Adolf Helmy, MD
- Telefonnummer: 01275716942
- E-mail: minaadolf1988@cu.edu.eg
Studiesteder
-
-
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Cairo, Egypten
- Rekruttering
- Cairo University Hospitals
-
Kontakt:
- Mina Adolf Helmy, MD
- Telefonnummer: 01275716942
- E-mail: minaadolf1988@cu.edu.eg
-
Cairo, Egypten
- Ikke rekrutterer endnu
- Cairo University Hospitals
-
Kontakt:
- Mina Adolf Helmy, MD
- Telefonnummer: 01275716942
- E-mail: minaadolf1988@cu.edu.eg
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Body mass index > 40 kg/m2
- ASA II
Exclusion Criteria:
- Limited diaphragmatic ultrasound views
- Patient with pulmonary diseases (COPD, bronchial asthma, and interstitial fibrosis)
- Patient refusal
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Tredobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Aktiv komparator: TENS
Three times daily for the first postoperative day, each session will last 30 minutes
|
The EM49 will be set to a TENS program with a frequency of 80-100 Hz and a pulse width of 200 μs
|
|
Sham-komparator: Control
Electrodes will be placed identically, but no current will be delivered (sham TENS)
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Electrodes will be placed identically, but no current will be delivered (sham TENS)
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Incidence of postoperative diaphragmatic dysfunction
Tidsramme: 2 hours after surgery
|
Diaphragmatic excursion < 10 mm 2 hours after surgery
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2 hours after surgery
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Forced vital capacity (liters)
Tidsramme: Before and at 2 and 24 hours postoperatively
|
is the maximum volume of air that can forcibly exhaled after taking maximum breath
|
Before and at 2 and 24 hours postoperatively
|
|
Numeric rating scale
Tidsramme: Within 24 hours after surgery
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To quantify pain from 0 to 10 (with 10 indicates worst pain)
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Within 24 hours after surgery
|
|
Nalbuphine consumption
Tidsramme: 24 hours after surgery
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Total postoperative nalbuphine consumption
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24 hours after surgery
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|
Forced expiratory volume in one second (Liter)
Tidsramme: Before and at 2 and 24 hours
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Maximum volume of air can be exhaled in the first second after maximum inspiration
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Before and at 2 and 24 hours
|
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Peak expiratory flow rate (Liter/ second)
Tidsramme: Baseline, 2, and 24 hours after surgery
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Maximum flow rate during forced expiration after maximum inhalation
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Baseline, 2, and 24 hours after surgery
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Samarbejdspartnere og efterforskere
Sponsor
Publikationer og nyttige links
Generelle publikationer
- Tashani O, Johnson M. Transcutaneous Electrical Nerve Stimulation (TENS) A Possible Aid for Pain Relief in Developing Countries? Libyan J Med. 2009 Jun 1;4(2):62-5. doi: 10.4176/090119.
- Helmy MA, Mostafa MS, Saber AT, Ali MA, Milad LM. Erector Spinae Plane Block and its Impact on Postoperative Diaphragmatic Dysfunction in Morbidly Obese Patients Undergoing Laparoscopic Sleeve Gastrectomy: A Double-Blind Randomized Control Trial. Obes Surg. 2025 Dec;35(12):5228-5236. doi: 10.1007/s11695-025-08337-y. Epub 2025 Nov 4.
- Norskov J, Skaarup SH, Bendixen M, Tankisi H, Morkved AL, Juhl-Olsen P. Diaphragmatic dysfunction is associated with postoperative pulmonary complications and phrenic nerve paresis in patients undergoing thoracic surgery. J Anesth. 2024 Jun;38(3):386-397. doi: 10.1007/s00540-024-03325-5. Epub 2024 Mar 28.
- Mostafa SF, Abdelghany MS, Abu Elyazed MM. Ultrasound-Guided Erector Spinae Plane Block in Patients Undergoing Laparoscopic Bariatric Surgery: A Prospective Randomized Controlled Trial. Pain Pract. 2021 Apr;21(4):445-453. doi: 10.1111/papr.12975. Epub 2021 Jan 22.
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
- TENS and PODD in bariatric
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
IPD-planbeskrivelse
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
Studerer et amerikansk FDA-reguleret enhedsprodukt
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