Lexion AP 50/30 Warmed Humidified Real Time CO2 Insufflation vs Airseal Recirculated CO2/Air Insufflation in Minimally Invasive Bariatric (Gastric Bypass) Surgery
1 other identifier
interventional
54
1 country
1
Brief Summary
The purpose of this study is to To determine the effect of warm and humidified (WH) carbon dioxide (CO2) on post-operative pain/analgesia requirement in patients undergoing laparoscopic bariatric surgery.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started May 2023
Typical duration for not_applicable
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
April 4, 2023
CompletedFirst Posted
Study publicly available on registry
May 1, 2023
CompletedStudy Start
First participant enrolled
May 19, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 30, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
December 30, 2025
CompletedJune 13, 2025
June 1, 2025
2.4 years
April 4, 2023
June 10, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pain as assessed by the visual analog scale (VAS)
This will be measured as a binary outcome variable (pain will be determined as VAS \>/= 4, and no pain will be VAS \< 4). This will be determined on post-operative day 1 as an average of the two pain scores.
First 24 hours after surgery
Secondary Outcomes (10)
Intraoperative temperature measured via bladder probe (average of the measurements on the anesthesia record)
From the start surgery to the end of the surgery in minutes
Temperature in the PACU
From the time the patient enters PACU to the time patient leaves the PACU in minutes
Analgesic requirements in the Post Anesthesia Care Unit (PACU)
From the time the patient enters the PACU to the time patient leaves the PACU in minutes
Volume of CO2 consumed during the procedure
from the time the CO2 machine is turned on to the time the CO2 machine is turned off in minutes
Length of hospital stay
the amount of hours the patient stays in the hospital (ie 24 hours)
- +5 more secondary outcomes
Study Arms (2)
Warm humidified CO2
EXPERIMENTALDry CO2
ACTIVE COMPARATORInterventions
Participants will receive warm (37°C) and humidified (95%) CO2.The humidification and warming device to be used is AlwaysPneumo® AP 50/30 InsuflowPort® (Lexion Medical, FDA approved) which is a specialized port that delivers warmed (95° F) and humidified (95% relative humidity) CO2, the source of which is a standard CO2 tank or wall source
Participants will receive standard cold (19-21 °C) and non-humidified (0%) CO2 insufflation with Airseal Insufflator
Eligibility Criteria
You may qualify if:
- elective bariatric primary or revision procedures and hiatal hernia repair procedures for all indications.
You may not qualify if:
- emergency surgery, reoperation within 30 days
- patients who are taking pain medications (narcotics) daily preoperatively for whatever reason
- history of narcotics addiction
- paraplegic and quadriplegic patients
- dementia or altered mental status
- patients on steroids
- pregnant women
- psychiatric patients
- minors
- unable to give informed consent
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
The University of Texas Health Science Center at Houston
Houston, Texas, 77030, United States
Study Officials
- PRINCIPAL INVESTIGATOR
Erik Wilson, MD, FACS
The University of Texas Health Science Center, Houston
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
April 4, 2023
First Posted
May 1, 2023
Study Start
May 19, 2023
Primary Completion
September 30, 2025
Study Completion
December 30, 2025
Last Updated
June 13, 2025
Record last verified: 2025-06
Data Sharing
- IPD Sharing
- Will not share