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Trial registered on ANZCTR
Registration number
ACTRN12620000169943
Ethics application status
Approved
Date submitted
20/11/2019
Date registered
17/02/2020
Date last updated
17/02/2020
Date data sharing statement initially provided
17/02/2020
Date results provided
17/02/2020
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effects of intraabdominal pressure on perfusion values in obese and normal weight patients in laparoscopic cholecystectomy operation
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Scientific title
The effects of pneumoperitoneum on Pleth Variability Index and Total Hemoglobin (SpHb) values in obese and normal weight patients in laparoscopic cholecystectomy operation
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Secondary ID [1]
299862
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none
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Universal Trial Number (UTN)
U1111-1243-9685
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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:
obesity
315267
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Condition category
Condition code
Anaesthesiology
313566
313566
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0
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Other anaesthesiology
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Surgery
313567
313567
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0
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Other surgery
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Diet and Nutrition
313854
313854
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Patients undergoing laparoscopic cholecystectomy will undergo a masimo finger probe (a probe like saturation probe that measures non invasively pleth variability index, perfusion index, hg levels from hand finger) prior to surgery. With this probe, PVI and SpHb values will be measured. 10-12 mmHg pneumoperitoneum will be formed by laparoscopy tower according to the routine procedure of laparoscopic surgeries after the patient is anesthetized (every laparoscopic cholecystectomy operation needs pneumoperitoneum for clear vision by laparoscopic camera). Pneumoperitoneum will be performed with CO2 by general surgeon. Changes in the PVI and SpHb values measured from the Masimo finger probe will be recorded. Duration of interventions will be aproximately 60 minutes. Operations lasting longer than 60 minutes will be excluded from the study.
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Intervention code [1]
316127
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Diagnosis / Prognosis
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Comparator / control treatment
this study has 2 groups. One group contains obese patiens (Body Mass Index over 30), The other group contains non-obese patients.
We can say that non-obese patient group is control group
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Control group
Active
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Outcomes
Primary outcome [1]
322023
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percentage change in Pleth Variability Index value measured from finger probe of Masimo
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Assessment method [1]
322023
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Timepoint [1]
322023
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values measured with finger probe after pneumoperitoneum formation, every 5 minutes later pneumoperiton formation, 1 minute after pneumoperiton desufflation, every 5 minutes later pneumoperiton desufflation
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Secondary outcome [1]
377046
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percentage change in SpHb value measured from finger probe of Masimo
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Assessment method [1]
377046
0
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Timepoint [1]
377046
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values measured with finger probe after pneumoperitoneum formation, every 5 minutes later pneumoperiton formation, 1 minute after pneumoperiton desufflation, every 5 minutes later pneumoperiton desufflation
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Eligibility
Key inclusion criteria
ASA (American Society of Anesthesiologists) 1-2 patiens
patients undergoing lararoscopic cholecystectomy
Study Group: body mass index > 30
Control Group : body mass index < 30
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Minimum age
18
Years
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Maximum age
70
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
ASA 3-4 patients
patients who refused to participate in the study
pregnancy
intraoperative bleeding over 100 ml
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Study design
Purpose of the study
Diagnosis
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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)
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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
Other
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Other design features
the study contains two groups.
first group contains patients with BMI over 30
second group contains patients with BMI below 30
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Phase
Not Applicable
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Type of endpoint/s
Safety
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Statistical methods / analysis
With a power analysis, a total of 48 people would be needed to detect large effects (d=0.5) with %90 power using chi-square
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
9/12/2019
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Date of last participant enrolment
Anticipated
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Actual
30/01/2020
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Date of last data collection
Anticipated
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Actual
30/01/2020
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Sample size
Target
50
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Accrual to date
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Final
60
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Recruitment outside Australia
Country [1]
22131
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Turkey
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State/province [1]
22131
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sanliurfa
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Funding & Sponsors
Funding source category [1]
304323
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Self funded/Unfunded
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Name [1]
304323
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Gulcin Patmano
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Address [1]
304323
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Karsiyaka mah. 498. sk. Tema yesilvadi evleri 63000 Haliliye/Sanliurfa
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Country [1]
304323
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Turkey
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Primary sponsor type
Individual
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Name
Gulcin Patmano
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Address
Karsiyaka mah. 498. sk. Tema yesilvadi evleri 63000 Haliliye/Sanliurfa
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Country
Turkey
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Secondary sponsor category [1]
304569
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None
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Name [1]
304569
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Address [1]
304569
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Country [1]
304569
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
304772
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Harran Univercity Ethics Commitee
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Ethics committee address [1]
304772
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Sanliurfa - Mardin Karayolu 18. km 63000 Haliliye/Sanliurfa
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Ethics committee country [1]
304772
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Turkey
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Date submitted for ethics approval [1]
304772
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07/10/2019
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Approval date [1]
304772
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04/11/2019
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Ethics approval number [1]
304772
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19/04/20
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Summary
Brief summary
With the development of minimal-invasive techniques, laparoscopic procedures are the basis of general surgery. Artificial pneumoperitoneum is usually established by carbon dioxide insufflation and the intraabdominal pressure is frequently maintained between 10 and 15 mmHg. There are two ways to monitor this volume status: invasive and non-invasive. Non-invasive plethysmographic variability index (PVI) and Total hemoglobin (SpHb) are new parameters used for fluid response in surgical patients. Although these two parameters have been shown to be affected by pneumoperitoneum in laparoscopic surgery, the role of obesity has not been established. These parameters were evaluated in gastric bypass operations to evaluate the effects of pneumoperitoneum in obese patients and their changes were evaluated. However, there are no studies evaluating obese patients and normal weight patients with the same operation type and the same abdominal pressure values. Our aim in this study was to determine how PVI and SpHb are affected by pneumoperitoneum in obese and normal weight patients.
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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 Gulcin Patmano
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Address
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Sanliurfa Mehmet Akif Inan Egitim Arastirma Hastanesi Anestezi Birimi
Esentepe mah. Merkez Ertugrul cad. 63300 Haliliye/Sanliurfa
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Country
98154
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Turkey
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Phone
98154
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+905554012878
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Fax
98154
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Email
98154
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[email protected]
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Contact person for public queries
Name
98155
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Gulcin Patmano
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Address
98155
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Sanliurfa Mehmet Akif Inan Egitim Arastirma Hastanesi Anestezi Birimi
Esentepe Mah. Merkez Ertugrul cad. 63300 Haliliye/ Sanliurfa
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Country
98155
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Turkey
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Phone
98155
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+905554012878
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Fax
98155
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Email
98155
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[email protected]
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Contact person for scientific queries
Name
98156
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Gulcin Patmano
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Address
98156
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Sanliurfa Mehmet Akif Inan Egitim Arastirma Hastanesi Anestezi Birimi Sanliurfa
Esentepe mah. Merkez Ertugrul cad. 63300 Haliliye/Sanliurfa
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Country
98156
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Turkey
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Phone
98156
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+905554012878
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Fax
98156
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Email
98156
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
individual participant data underlying published results only
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When will data be available (start and end dates)?
Immediately following publication, no end date
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Available to whom?
anyone who wishes to access it
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Available for what types of analyses?
any purpose
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How or where can data be obtained?
emailing the principal investigator
Mail adres:
[email protected]
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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 body weight and pneumoperitoneum on pleth variability index and total haemoglobin in patients undergoing laparoscopic cholecystectomy: A prospective observational study.
2022
https://dx.doi.org/10.52142/omujecm.39.3.34
N.B. These documents automatically identified may not have been verified by the study sponsor.
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