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Trial registered on ANZCTR
Registration number
ACTRN12618000771257
Ethics application status
Approved
Date submitted
1/05/2018
Date registered
8/05/2018
Date last updated
8/05/2018
Type of registration
Prospectively registered
Titles & IDs
Public title
We will investigate the ventilation method on the effect of eye nerve diameter during laparoscopic cholecystectomy.
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Scientific title
Effect of positive end-expiratory pressure administration on diameter of the optic nerve sheet in laparascopic cholecystectomy
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Secondary ID [1]
294804
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none
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
gall stones
307669
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Condition category
Condition code
Anaesthesiology
306784
306784
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0
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Other anaesthesiology
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
PEEP was implemented by an anesthesia assistant who was not included in the study and anesthesia researcher who does not know whether the patient is peeping or not peeping, measured optic nerve sheath diameter by ultrasound.
Group Peep: 10 cm H2O Peep administered during the operation (about one hour)
Group zero PEEP: no PEEP administered during the operation
The effect of 10 cm H2O PEEP on optic nerve sheet diameters measured by ultrasound
t1 = Before anesthesia induction
t2 = After entubation
t3 = Following pneumoperitoneum administration
t4 = After PEEP administration
t5 = After desuflation
t6 = Following extubation
Also, heart rate, mean arterial pressure, peak airway pressure, platau pressure were recorded at the same times
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Intervention code [1]
301055
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Other interventions
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Comparator / control treatment
The patients were randomized into two groups with the sealed envelope method.
Zero PEEP group received no PEEP (C0mparator Group),
Participants in the comparator group will also have their nerve sheet diameter measured at the same timepoints as the intervention group.
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Control group
Active
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Outcomes
Primary outcome [1]
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Difference optic nerve sheet diamater (mm) measured by ultrasound.
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Assessment method [1]
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Timepoint [1]
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'1-Before induction
2-After intubation
3-Following pneumoperitoneum
4-AFTER PEEP ADMINISTRATION (PRIMARY ENDPOINT)
5-After desuflation
6-Following extubation
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Secondary outcome [1]
346235
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Mean arterial blood pressure measured by digital blood pressure cuff.
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Assessment method [1]
346235
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Timepoint [1]
346235
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1-Before induction
2-After intubation
3-Following pneumoperitoneum
4-After PEEP administration
5-After desuflation
6-Following extubation
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Secondary outcome [2]
346236
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Heart rate is measured by ECG
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Assessment method [2]
346236
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Timepoint [2]
346236
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1-Before induction
2-After intubation
3-Following pneumoperitoneum
4-After PEEP administration
5-After desuflation
6-Following extubation
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Secondary outcome [3]
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Peak airway pressure recorded from Dräger 'Primus® Infinity® anesthesia machine' ventilator data.
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Assessment method [3]
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Timepoint [3]
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1-Before induction
2-After intubation
3-Following pneumoperitoneum
4-After PEEP administration
5-After desuflation
6-Following extubation
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Secondary outcome [4]
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Pulmonary compliance recorded from Dräger 'Primus® Infinity® anesthesia machine' ventilator data.
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Assessment method [4]
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Timepoint [4]
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1-Before induction
2-After intubation
3-Following pneumoperitoneum
4-After PEEP administration
5-After desuflation
6-Following extubation
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Eligibility
Key inclusion criteria
ASA I-II who were scheduled to undergo laparascopic cholecystectomy.
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Presence of acute/chronic Eye disease, Hypertension,Pulmonary disease,Obesity
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
21/05/2018
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Actual
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Date of last participant enrolment
Anticipated
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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
90
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
10363
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Turkey
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State/province [1]
10363
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Funding & Sponsors
Funding source category [1]
299107
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Hospital
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Name [1]
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Diskapi Yildirim Beyazit Education and Research Hospital
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Address [1]
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Diskapi Yildirim Beyazit Education and Research Hospital
Ziraat Mahallesi, Sehit Ömer Halisdemir Cad. No: 20 Diskapi - Altindag/Ankara
06550
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Country [1]
299107
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Turkey
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Primary sponsor type
Hospital
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Name
Diskapi Yildirim Beyazit Education and Research Hospital
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Address
Diskapi Yildirim Beyazit Education and Research Hospital
Ziraat Mahallesi, Sehit Ömer Halisdemir Cad. No: 20 Diskapi - Altindag/Ankara
06550
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Country
Turkey
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Secondary sponsor category [1]
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None
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Name [1]
298680
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Address [1]
298680
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Country [1]
298680
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
300039
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Ethics committee address [1]
300039
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Ethics committee country [1]
300039
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Date submitted for ethics approval [1]
300039
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Approval date [1]
300039
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15/05/2017
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Ethics approval number [1]
300039
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Summary
Brief summary
Laparascopic surgical interventions are gaining popularity, but the induction of pneumoperitoneum has been seen alterations in the respiratory mechanics.. These alterations are known to result in a reduction in FRC, VC, an increase in PaCO2, hypoxemia, ventilation / perfusion incompatibility. This issue has revealed the positive effects of administration of positive end expiratory pressure (PEEP) on elastance and resistance in the respiratory system. However, there are publications showing that PEEP application enhances ICP. Pneumoperitoneum also increase in ICP at any given time. The optic nerve sheath continues with the duramater, and a change in the CSF pressure at the subarachnoid location affects the diameter of the optic nerve sheath. In this study, we aimed to control 10 cmH2O PEEP in ICP change in 15 mm Hg pneumoperitoneum patients by the change of the optic nerve sheath diameter (Optic nevre sheet diamaetr is measured by ultrasound).
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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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A/Prof Reyhan Polat
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Address
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Diskapi Yildirim Beyazit Education and Research Hospital
Ziraat Mahallesi, Sehit Ömer Halisdemir Cad. No: 20 Diskapi - Altindag/Ankara
06550
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Country
82354
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Turkey
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Phone
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+905326734310
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Fax
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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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Seher Yanatma
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Address
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Diskapi Yildirim Beyazit Education and Research Hospital
Sehit Ömer Halis Demir Street
Diskapi/Ankara
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Country
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Turkey
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Phone
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+905395672613
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Fax
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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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Murat Sayin
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Address
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Diskapi Yildirim Beyazit Education and Research Hospital
Sehit Ömer Halis Demir Street
Diskapi/Ankara
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Country
82356
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Turkey
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Phone
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+905326147862
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Fax
82356
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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
Source
Title
Year of Publication
DOI
Embase
The effects of positive end-expiratory pressure (PEEP) application on optic nerve sheath diameter in patients undergoing laparoscopic cholecystectomy: a randomized trial.
2023
https://dx.doi.org/10.1016/j.bjane.2021.12.006
N.B. These documents automatically identified may not have been verified by the study sponsor.
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