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Oxygen Level and Safe Emergence From Anesthesia

Not Applicable
Completed
Conditions
Focus of Study is Postoperative Pulmonary Atelectacis
Interventions
Procedure: 100% oxygen
Procedure: 30% oxygen
Registration Number
NCT01779076
Lead Sponsor
Region Västmanland
Brief Summary

Using a protective ventilation strategy during general anesthesia from pre-oxygenation to emergence and selecting patients without risk of a difficult airway or intubation, a lower fraction of inspiratory oxygen (FIO2) can be used during extubation. This might reduce the postoperative area of atelectasis without desaturations becoming more common.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
59
Inclusion Criteria
  • No sign of difficult airway or intubation
  • Day case surgery in total intravenous anesthesia with laryngeal mask airway without adding regional anesthesia of plexus brachialis or muscle relaxant.
  • Body mass index less than 35.
  • American Society of Anesthesiologists physical status (ASA) class I-III
Exclusion Criteria
  • Body mass index 35 or higher
  • Increased risk of aspiration
  • Obstructive sleep apnea syndrome
  • Procedures during surgery making a former easy airway a difficult airway
  • Need for opioids after extubation
  • Hypothermia

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
100% oxygen during extubation100% oxygenIn this arm the intervention will consist of 100 % oxygen.
30% oxygen during extubation30% oxygenIn this arm the intervention will consist of 30 % oxygen.
Primary Outcome Measures
NameTimeMethod
Area of atelectasis30 minutes

The area of atelectasis is investigated by computed tomography of the lungs postoperatively

Secondary Outcome Measures
NameTimeMethod
Peripheral oxygen saturation (SpO2)3 hours

SpO2 is continuously assessed postoperatively.

Trial Locations

Locations (1)

Västmanlands sjukhus Köping

🇸🇪

Köping, Västmanland, Sweden

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