Volume Controlled Ventilation vs Autoflow-volume Controlled Ventilation
- Conditions
- Prostate Cancer
- Interventions
- Device: volume controlled ventilationDevice: 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- WITHDRAWN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
- Adult (age 19-65)
- American Society of Anesthesiology Classification I-III
- cardiovascular disease, cerebrovascular disease, pulmonary disease
- over BMI 30
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description volume controlled ventilation volume controlled ventilation Randomized 23 patients will be applied VCV during RALP. autoflow-volume controlled ventilation autoflow-volume controlled ventilation Randomized 23 patients will be applied autoflow-VCV during RALP.
- Primary Outcome Measures
Name Time Method Airway pressure 4hours Airway pressure will be measured under specified ventilation mode.
- Secondary Outcome Measures
Name Time Method Vital sign 4hours Vital sign will be measured under specified ventilation mode.