- ICH GCP
- US Clinical Trials Registry
- Klinisk utprøving NCT07934251
The Effect of Endotracheal Tube Cuff Deflation at Different Train-of-Four Values on Bucking Against the Tube (TOF-BUCK)
The Effect of Endotracheal Tube Cuff Deflation at Different Train-of-Four Values on Involuntary Bucking Against the Tube: A Prospective, Randomized Controlled Study
This prospective, randomized controlled trial investigates the effect of deflating the endotracheal tube cuff at different Train of Four (TOF) recovery levels on the incidence of bucking (involuntary respiratory efforts and coughing against the tube) during emergence from general anesthesia. The study includes 60 patients scheduled for cholecystectomy procedures. Participants are randomly assigned to two distinct groups based on the predetermined TOF ratio at which their endotracheal tube cuff pressure is reduced prior to extubation. The primary objective is to determine if timing the cuff deflation according to objective neuromuscular monitoring minimizes airway complications and enhances overall patient safety and comfort. Secondary objectives include evaluating the effects of this intervention on hemodynamic stability and the incidence of postoperative nausea and vomiting.
Studieoversikt
Status
Forhold
Intervensjon / Behandling
Studietype
Registrering (Antatt)
Fase
- Ikke aktuelt
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion Criteria:
- Patients aged between 18 and 65 years
- Patients scheduled for cholecystectomy surgery
- Patients requiring tracheal intubation
- Patients successfully intubated on the first attempt and in less than 30 seconds.
- American Society of Anesthesiologists (ASA) physical status I or II.
- General anesthesia duration of less than 3 hours.
- Body Mass Index (BMI) < 30.
Exclusion Criteria:
- Patients who refuse to participate in the study
- Patients outside the specified age range
- Patients presenting with signs of a difficult airway.
- Patients with an increased risk of perioperative aspiration
- American Society of Anesthesiologists (ASA) physical status III, IV, V, or VI.
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Forebygging
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Eksperimentell: Group 1: TOF Ratio > 0.9
In this group, the endotracheal tube cuff is deflated when the patient's Train-of-Four (TOF) ratio reaches > 0.9 |
The procedure involves the deflation of the endotracheal tube cuff prior to extubation during emergence from general anesthesia. |
|
Eksperimentell: Group 2: TOF Ratio 0.75-0.85
In this group, the endotracheal tube cuff is deflated when the patient's Train-of-Four (TOF) ratio is between 0.75 and 0.85 |
The procedure involves the deflation of the endotracheal tube cuff prior to extubation during emergence from general anesthesia. |
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
|
Incidence of Bucking
Tidsramme: From endotracheal tube cuff deflation up to 1 hour
|
The number of participants experiencing involuntary respiratory efforts, coughing, or bucking against the endotracheal tube during the emergence phase from general anesthesia. |
From endotracheal tube cuff deflation up to 1 hour
|
Samarbeidspartnere og etterforskere
Sponsor
Studierekorddatoer
Studer hoveddatoer
Studiestart (Antatt)
Primær fullføring (Antatt)
Studiet fullført (Antatt)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Faktiske)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Andre studie-ID-numre
- 2025.104.05.18
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