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Trial registered on ANZCTR
Registration number
ACTRN12613000521729
Ethics application status
Approved
Date submitted
20/04/2013
Date registered
10/05/2013
Date last updated
14/05/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
The effect of oxygen on passive inspiratory flow in the apnoeic patient.
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Scientific title
The effect of oxygen versus air on passive inspiratory flow rate in women undergoing an elective gynaecological procedure requiring intubation when rendered apnoeic under general anaesthesia.
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Secondary ID [1]
282371
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Nil.
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Universal Trial Number (UTN)
U1111-1142-1583
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Trial acronym
Apnoeic Flow Study
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Passive inspiratory flow in the apnoeic patient
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Condition category
Condition code
Anaesthesiology
289285
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0
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Anaesthetics
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
When patient is rendered apnoeic under general anaesthesia, each patient will be with administered oxygen first for ten minutes or less(when SpO2 less than91%), and then with air for ten minutes or less(when SpO2 less than91%).
The flow rate of both oxygen and air will be measured during period of apnoea.
Under normal circumstances the patient will be ventilated when rendered apnoeic. However, we are looking into the physiology of air and oxygen flow in an apnoeic patient.
Oxygen ( 5L/min) and air (5L/min) will be administered over a period of 10 minutes or when patient's pulse oximetry falls below 91%.(which ever occurs first).
Both oxygen and air will be delivered by Anaesthetic machine to patient via the endotracheal tube.
This study occurs at the start of anaesthesia and willll be terminated before the start of surgery.
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Intervention code [1]
287003
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Other interventions
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Comparator / control treatment
Air.
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Control group
Active
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Outcomes
Primary outcome [1]
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Flow rate of oxygen and air is measured with Eco-medics Vmax 26 flow meter which uses high frequency ultrasonic waves to measure small gas flows in neonates.
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Assessment method [1]
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Timepoint [1]
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When flow rate stabilises or at 10 minutes (maximum).
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Secondary outcome [1]
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Nil.
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Assessment method [1]
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Timepoint [1]
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Nil.
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Eligibility
Key inclusion criteria
Healthy female patients admitted for elective gynaecologycal procedure requiring intubation.
ASA 1-2 patients only.
Body mass index (BMI) between 20 and 35kg per metre square.
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Minimum age
18
Years
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Maximum age
70
Years
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Patient refusal.
BMI >35.
Oxygen saturation(peripheral) of less than 95% at room air.
Patients with chronic respiratory disease e.g. asthma.
Patients with features of difficult airway.
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Subject will be recruited in the Gynaecology Pre-admission clinic on a voluntary basis. All subjects will receive oxygen first followed by air.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety
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Statistical methods / analysis
Univariate data will be expressed as mean(plus minus standard deviation) for parametric data and median(range) for non-parametric data.
Analysis will be done using student's unpaired t-test, Mann-Whitney sum rank test(continuous data), Chi-square test and Fisher Exact (categorical data) as appropriate.
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
13/05/2013
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Actual
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Date of last participant enrolment
Anticipated
30/04/2014
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
18
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
WA
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Recruitment hospital [1]
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King Edward Memorial Hospital - Subiaco
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Recruitment postcode(s) [1]
6771
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6008 - Subiaco
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
287140
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Primary sponsor type
Hospital
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Name
King Edward Memorial Hospital
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Address
374, Bagot Road
Subiaco
WA 6008
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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WNHS Ethics Committee
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Ethics committee address [1]
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Ethics Secretary Room 134 Level 1, Children’s Clinical Research Facility Princess Margaret Hospital Cnr Hamilton Street & Roberts Road Subiaco WA 6008
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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03/08/2012
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Approval date [1]
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04/12/2012
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Ethics approval number [1]
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2051/EW
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Summary
Brief summary
When you receive a general anaesthetic for your operation, you will be asleep also unable to breath for yourself. Therefore, a breathing tube is inserted in your windpipe to allow the anaesthetist to assist your breathing while the surgeon operates. This study aims to determine the rate at which your lungs ‘suck in’ (or inspire) air while you are asleep and not breathing.This is possible with a continuous opening from your lungs to oxygen source. We believe that if the composition of the air being sucked into your lungs is all oxygen than it will continue to flow at a constant rate but if the composition of air is the same as in the room (20% oxygen) then the flow rate will tail off (like slowly turning off a tap). Computer programs and our understanding of the biology of people suggest this would be the case. However, we have no proof of this at present.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Lip Yang Ng
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Address
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Department of Anaesthesia and Pain Medicine
King Edward Memorial Hospital
374, Bagot Road
Subiaco
WA 6008
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Country
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Australia
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Phone
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+61(8) - 9340 2222
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Fax
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+61(8) - 9340 2227
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Email
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[email protected]
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Contact person for public queries
Name
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Lip Yang Ng
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Address
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Department of Anaesthesia and Pain Medicine
King Edward Memorial Hospital
374, Bagot Road
Subiaco
WA 6008
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Country
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Australia
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Phone
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+61(8) - 9340 2222
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Fax
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+61(8) - 9340 2227
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Email
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[email protected]
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Contact person for scientific queries
Name
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Lip Yang Ng
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Address
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Department of Anaesthesia and Pain Medicine
King Edward Memorial Hospital
374, Bagot Road
Subiaco
WA 6008
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Country
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Australia
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Phone
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+61(8) - 9340 2222
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Fax
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+61(8) - 9340 2227
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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