Reverse Trendelenburg Positioning and Its Effect on Outcomes: a Retrospective Study of Consecutive Patients

NCT02984657 | Completed

• 1 other identifier: 15-023
• Study Type: observational
• Target: 1,500
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to investigate whether intraoperative reverse Trendelenburg positioning decreases postoperative hypoxemia and perioperative pulmonary aspiration rates.

Conditions

Aspiration, Respiratory; Hypoxia; Perioperative Period; Supine Position

Keywords

Hypoxemia; Reverse Trendelenburg

Outcome Measures

Primary Outcomes (1)

• Postoperative hypoxemia

  48 hours postoperatively

Secondary Outcomes (1)

• Perioperative pulmonary aspiration

  48 hours postoperatively

Study Arms (2)

2012 patients

Surgical patients in 2012 with anesthesia and nursing staff less attuned to intraoperative RTP.

Procedure: Surgical patients in 2012 with anesthesia and nursing staff less attuned to intraoperative RTP.

2015 patients

Surgical patients in 2015 with enhanced anesthesia and nursing staff awareness and use of intraoperative RTP.

Procedure: Surgical patients in 2015 with enhanced anesthesia and nursing staff awareness and use of intraoperative RTP.

Interventions

Surgical patients in 2012 with anesthesia and nursing staff less attuned to intraoperative RTP. PROCEDURE

RTP, reverse Trendelenburg positioning

2012 patients

Surgical patients in 2015 with enhanced anesthesia and nursing staff awareness and use of intraoperative RTP. PROCEDURE

RTP, reverse Trendelenburg positioning

2015 patients

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Probability Sample

Study Population

Surgical patients from an urban hospital

You may qualify if:

• Patients undergoing endotracheal intubation and general anesthesia
• Age ≥18 years
• Glasgow Coma Scale score ≥13 (prior to tracheal intubation)
• American Society of Anesthesiologists classification I-IV
• Pre-operative pulmonary stability

You may not qualify if:

• Tracheal intubation prior to emergency department arrival
• Cardiac and thoracic surgical patients

Sponsors & Collaborators

• C. Michael Dunham: lead
• St. Elizabeth Youngstown Hospital: collaborator

Study Sites (1)

St. Elizabeth Youngstown Hospital

Youngstown, Ohio, 44501, United States

Location

Related Publications (28)

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• Michael Dunham C, Hileman BM, Hutchinson AE, Antonaccio T, Chance EA, Huang GS, Szmaj G, Calabro K, Bishop C, Schrickel TT. Evaluation of operating room reverse Trendelenburg positioning and its effect on postoperative hypoxemia, aspiration, and length of stay: a retrospective study of consecutive patients. Perioper Med (Lond). 2017 Aug 22;6:10. doi: 10.1186/s13741-017-0067-2. eCollection 2017.

  PMID: 28852473 DERIVED

MeSH Terms

Conditions

Respiratory Aspiration; Hypoxia; Deception

Interventions

Anesthesia

Condition Hierarchy (Ancestors)

Respiration Disorders; Respiratory Tract Diseases; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Signs and Symptoms, Respiratory; Signs and Symptoms; Social Behavior; Behavior

Intervention Hierarchy (Ancestors)

Anesthesia and Analgesia

Study Officials

• C. Michael Dunham, MD

  St. Elizabeth Youngstown Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Research Associate, St. Elizabeth Youngstown Hospital

Study Record Dates

• First Submitted: December 4, 2016
• First Posted: December 7, 2016
• Study Start: May 1, 2015
• Primary Completion: September 1, 2015
• Study Completion: September 1, 2015
• Last Updated: December 7, 2016

Record last verified: 2016-12

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)