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Effect of Airseal System Valve-less Trocar on the Ventilatory Parameters During Robotic-assisted Radical Cystectomy

Not Applicable
Completed
Conditions
Mechanical Ventilation Pressure High
Interventions
Device: conventional trocar
Device: Airseal Trocar
Registration Number
NCT02506270
Lead Sponsor
Regina Elena Cancer Institute
Brief Summary

The aim of the investigators' study is to investigate if the use of the AirSeal insufflation system impairs ventilatory parameters of patients less than a conventional system in patients undergoing robot-assisted laparoscopic cystectomy.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
56
Inclusion Criteria
  • Patients scheduled for robotic-assisted Radical Cystectomy
  • Written informed consent
    • ≄ 18 years of age
Exclusion Criteria
  • Patients who refuse participating in the study
  • ejection fraction < 40%
  • history of retinal vascular occlusion and ischaemic optic neuropathy

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Conventional trocarconventional trocarpatients are treated with a conventional insufflation and trocar system
AirSeal Trocar valvelessAirseal Trocarpatients are treated with the AirSeal-CO2-insufflator and trocar-system
Primary Outcome Measures
NameTimeMethod
change of dynamic compliance during surgery5min after induction,30min after trendelenburg position,1hours and 2hours after trendelenburg,30min and 1hour and 2hours after reduction Trendelenburg,5min after repositioning in supine position

the variations of dynamic compliance during surgery are measured by mechanical ventilator and are expressed in ml/cmH2O

Secondary Outcome Measures
NameTimeMethod
change of peripheral oxygen saturation during surgery5min after induction,30min after trendelenburg position,1hours and 2hours after trendelenburg,30min and 1hour and 2hours after reduction Trendelenburg,5min after repositioning in supine position,1h after extubation

the variations of peripheral oxygen saturation during surgery are measured by multiparameter patient monitor and are expressed in %

change of Peak Pressure during surgery5min after induction,30min after trendelenburg position,1hours and 2hours after trendelenburg,30min and 1hour and 2hours after reduction Trendelenburg,5min after repositioning in supine position

the variations of peak pressure during surgery are measured by mechanical ventilator and are expressed in cmH2O

Trial Locations

Locations (1)

Regina Elena CI

šŸ‡®šŸ‡¹

Rome, Italy

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