The Effect of Trendelenburg Position on CCA Blood Flow
Influence of Anesthesia, Pneumoperitoneum, and Patient Position on Common Carotid Artery Blood Flow During Laparoscopic Gynecology Operation
1 other identifier
observational
20
1 country
1
Brief Summary
The investigators will evaluate the change of the common carotid artery blood flow according to patient's position and penumoperitoneum.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Jan 2020
1 active site
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
First Submitted
Initial submission to the registry
January 9, 2020
CompletedStudy Start
First participant enrolled
January 13, 2020
CompletedFirst Posted
Study publicly available on registry
January 18, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 23, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
February 23, 2021
CompletedJanuary 19, 2022
January 1, 2022
1.1 years
January 9, 2020
January 17, 2022
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change of the common carotid artery blood flow velocity
Common carotid artery blood flow velocity is measured using Doppler US
1) baseline, 2) Immediately after induction of anesthesia, 3) immediately after pneumoperitoneum, 4) immediately after Trendelenburg position with penumoperitoneum, 5) Immediately after desufflation in Trendelenburg position
Secondary Outcomes (5)
Change of the common carotid artery beat volume
1) baseline, 2) Immediately after induction of anesthesia, 3) immediately after pneumoperitoneum, 4) immediately after Trendelenburg position with penumoperitoneum, 5) Immediately after desufflation in Trendelenburg position
Change of the common carotid artery diameter
1) baseline, 2) Immediately after induction of anesthesia, 3) immediately after pneumoperitoneum, 4) immediately after Trendelenburg position with penumoperitoneum, 5) Immediately after desufflation in Trendelenburg position
Change of mean arterial blood pressure
1) baseline, 2) Immediately after induction of anesthesia, 3) immediately after pneumoperitoneum, 4) immediately after Trendelenburg position with penumoperitoneum, 5) Immediately after desufflation in Trendelenburg position
Change of cardiac output
1) baseline, 2) Immediately after induction of anesthesia, 3) immediately after pneumoperitoneum, 4) immediately after Trendelenburg position with penumoperitoneum, 5) Immediately after desufflation in Trendelenburg position
Change of peak inspiration airway pressure
1) baseline, 2) Immediately after induction of anesthesia, 3) immediately after pneumoperitoneum, 4) immediately after Trendelenburg position with penumoperitoneum, 5) Immediately after desufflation in Trendelenburg position
Eligibility Criteria
patients undergoing gynecology surgery under trendelenburg position
You may qualify if:
- ASA class I,II
- patients undergoing gynecology surgery under trendelenburg position
- Age ranges from 20 to 70
You may not qualify if:
- BMI \> 32
- Pregnancy
- Patients who did not agree to study
- Patients with allergies to the drugs used in this study
- Patients with anatomical variations or lesions in cervical or cranial vascular portion
- Patients with arrhythmia that may alter patient's cardiac output(e.g. artrial fibrillation)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Jin-Tae Kim
Seoul, South Korea
Related Publications (1)
Yoon HK, Bae H, Yoo S, Kim YW, Bae J, Park SK, Kim H, Lim YJ, Kim JT. Relationships between common carotid artery blood flow and anesthesia, pneumoperitoneum, and head-down tilt position: a linear mixed-effect analysis. J Clin Monit Comput. 2023 Apr;37(2):669-677. doi: 10.1007/s10877-022-00940-z. Epub 2022 Dec 4.
PMID: 36463542DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Jin-Tae Kim, PhD
Seoul National University Hospital
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
January 9, 2020
First Posted
January 18, 2020
Study Start
January 13, 2020
Primary Completion
February 23, 2021
Study Completion
February 23, 2021
Last Updated
January 19, 2022
Record last verified: 2022-01
Data Sharing
- IPD Sharing
- Will not share