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Laryngeal Mask Airway in Lower Abdominal Surgery

Not Applicable
Completed
Conditions
Major Lower Abdominal Surgery
Interventions
Device: Endotracheal tube
Device: Laryngeal mask with gastric access
Registration Number
NCT02040324
Lead Sponsor
Universitätsklinikum Hamburg-Eppendorf
Brief Summary

We measure in this study lung function of 100 patients immediately after major lower abdominal surgery. We compare lung function, when either endotracheal intubation, or laryngeal masks are used for airway protection during surgery. The hypothesis is that the use of laryngeal masks is associated with less impairment of lung function in the immediate postoperative phase.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
100
Inclusion Criteria

Not provided

Exclusion Criteria
  • increased risk of aspiration due to hiatal hernia, morbid obesity, or facial malformations

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Endotracheal IntubationEndotracheal tubeClinical routine for longer lasting procedures
Laryngeal MaskLaryngeal mask with gastric accessLaryngeal mask with gastric access and drainage as airway management instead of endotracheal intubation
Primary Outcome Measures
NameTimeMethod
The change between pre- and postoperative forced expiratory volume in one second (FEV1) in lung functionone day prior to surgery, 1 hour after surgery (recovery room), at day one after surgery

The lung function is quantified by using Spirometry and pulse oximetry. Spirometry is performed in a standardized way according to the recommendations of the American Thoracic Society (ATS) and European Respiratory Society (ERS)

Secondary Outcome Measures
NameTimeMethod
Vital capacity (VC) measured by spirometry.one day prior to surgery, i hour after after surgery (recovery room), at day one after surgery

Spirometry is performed in a standardized way according to the recommendations of the American Thoracic Society (ATS) and European Respiratory Society (ERS)

Peak expiratory flow (PEF)one day prior to surgery, one hour after surgery (recovery room) , at day one after surgery
Forced vital capacity (FVC)one day prior to surgery, one hour after surgery (recovery room), at day one after surgery
mid-expiratory flow (MEF 25, 50, 75)one day prior to surgery, one hour after surgery, at day one after surgery
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