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Volume Controlled Ventilation vs Autoflow-volume Controlled Ventilation

Not Applicable
Withdrawn
Conditions
Prostate Cancer
Interventions
Device: volume controlled ventilation
Device: autoflow-volume controlled ventilation
Registration Number
NCT02512120
Lead Sponsor
Korea University Anam Hospital
Brief Summary

Volume controlled ventilation(VCV) is a most common used ventilation mode during general anesthesia. But VCV can cause high airway peak pressure when patient under steep Trendelenberg position with pneumoperitoneum. Autoflow-VCV can reduce airway peak pressure and improve dynamic compliance. We will compare parameters(arterial blood gas analysis, airway compliance, etc) when each group applied VCV and autoflow-VCV during RALP.

Detailed Description

Robot assisted laparoscopic radical prostatectomy(RALP) has been used to treatment of prostate cancer since 2001. RALP offers some advantage such as reduced blood loss, sparing nerves, less postoperative pain. However, RALP require steep Trendelenberg position with pneumoperitoneum. It can cause increased airway peak pressure and unwanted hemodynamic effect under conventional volume controlled ventilation(VCV). Autoflow-VCV use decelerating flow, can reduce airway peak pressure and improve dynamic compliance.

We will compare parameters(arterial blood gas analysis, airway compliance, etc) when each group applied VCV and autoflow-VCV during RALP.

Recruitment & Eligibility

Status
WITHDRAWN
Sex
Male
Target Recruitment
Not specified
Inclusion Criteria
  • Adult (age 19-65)
  • American Society of Anesthesiology Classification I-III
Exclusion Criteria
  • cardiovascular disease, cerebrovascular disease, pulmonary disease
  • over BMI 30

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
volume controlled ventilationvolume controlled ventilationRandomized 23 patients will be applied VCV during RALP.
autoflow-volume controlled ventilationautoflow-volume controlled ventilationRandomized 23 patients will be applied autoflow-VCV during RALP.
Primary Outcome Measures
NameTimeMethod
Airway pressure4hours

Airway pressure will be measured under specified ventilation mode.

Secondary Outcome Measures
NameTimeMethod
Vital sign4hours

Vital sign will be measured under specified ventilation mode.

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