NCT01835600

Brief Summary

For some upper ureteral and renal stones,ureteroscopic lithotripsy needs to be performed under general anesthesia with interrupted suspension of mechanical ventilation, which could result in hypercapnia and hypoxia. In this study, the investigators hypothesize that 10 cmH2O PEEP added to the respiratory circuit with 1 L/min 100% oxygen might extend the time of ventilation suspension but have no effect on carbon dioxide retention in blood.

Trial Health

43
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
150

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Apr 2013

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Start

First participant enrolled

April 1, 2013

Completed
1 day until next milestone

First Submitted

Initial submission to the registry

April 2, 2013

Completed
17 days until next milestone

First Posted

Study publicly available on registry

April 19, 2013

Completed
5 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

September 1, 2013

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

November 1, 2013

Completed
Last Updated

April 19, 2013

Status Verified

April 1, 2013

Enrollment Period

5 months

First QC Date

April 2, 2013

Last Update Submit

April 11, 2013

Conditions

Outcome Measures

Primary Outcomes (1)

  • change in blood gas

    we chose different time points to mesure the changes in blood gas.

    Baseline before suspension of ventilation, 5 min after suspension, 10 min after suspension, 15 min after suspension, 5 min after re-ventilaiton, 10 min after re-ventilation

Secondary Outcomes (1)

  • Change in systolic blood pressure

    Baseline before suspension of ventilation, 5 min after suspension, 10 min after suspension, 15 min after suspension, 5 min after re-ventilaiton, 10 min after re-ventilation

Other Outcomes (3)

  • duration of the operation

    from the start of the surgery to the end of the surgery

  • recovery time

    from the end of anesthesia to return of consciousness

  • intraoperative awareness

    from the initiation of anesthesia to the end of the surgery

Study Arms (2)

with PEEP

ACTIVE COMPARATOR

10 cmH2O PEEP added to the respiratory curcuit during suspension of mechanical ventilation

Other: PEEP

without PEEP

PLACEBO COMPARATOR

0 cmH2O PEEP added to the respiratory curcuit during suspension of mechanical ventilation

Interventions

PEEPOTHER

PEEP means that when mechanical ventilation is suspended, the value of expiratory valve in the anesthesia machine is set at 10 cmH2O with 1 L/min 100% oxygen.

Also known as: positive end-expiratory pressure
with PEEP

Eligibility Criteria

Age18 Years - 80 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • ASA I\~III general anesthesia sign the informed consent

You may not qualify if:

  • ASA IV or V woman who is pregnant or plans to bear

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Yi Zhou

Shanghai, Shanghai Municipality, 200433, China

Location

MeSH Terms

Conditions

HypercapniaHypoxia

Interventions

Positive-Pressure Respiration

Condition Hierarchy (Ancestors)

Signs and Symptoms, RespiratorySigns and SymptomsPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Respiration, ArtificialAirway ManagementTherapeuticsRespiratory Therapy

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
PARTICIPANT
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Sponsor Type
NETWORK
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Department of Anesthesiology , Changhai Hospital Affiliated to Second Military Medical

Study Record Dates

First Submitted

April 2, 2013

First Posted

April 19, 2013

Study Start

April 1, 2013

Primary Completion

September 1, 2013

Study Completion

November 1, 2013

Last Updated

April 19, 2013

Record last verified: 2013-04

Locations