Status:

COMPLETED

Does High Intraoperative Inspired Oxygen Reduce Postoperative Arterial Oxygen Saturation?

Lead Sponsor:

University of Utah

Conditions:

Atelectasis

Eligibility:

All Genders

18-70 years

Phase:

PHASE2

PHASE3

Brief Summary

The purpose of this study is to determine whether breathing high levels of oxygen during surgery affects oxygen levels after surgery. The second purpose of this study is to determine whether giving po...

Detailed Description

This is a randomized, controlled, blinded trial in patients undergoing non-abdominal surgery of the effect of intraoperative increased inspired oxygen used (FiO2\>0.9 vs. FiO2 = 0.3) on non-invasive o...

Eligibility Criteria

Inclusion

  • Patients aged 18-70 years undergoing surgery under general endotracheal anesthesia at the University of Utah Hospital Operating Room and the Huntsman Cancer Hospital Operating room who will be admitted to the hospital for at least 24 hours after surgery

Exclusion

  • Major (open) abdominal surgery
  • Major spine surgery
  • Craniotomy surgery
  • Surgeries where electrocautery or laser devices may be used near the airway (eg tracheostomy, oral surgery) because of the risk of fire with high inspired oxygen in these cases
  • Procedures planned for monitored anesthesia care (MAC) or regional without general anesthesia
  • Planned airway management with a laryngeal mask airway rather than an endotracheal tube
  • Procedures planned in the prone position because this increases atelectasis
  • Planned postoperative intubation
  • Planned postoperative care in the intensive care unit
  • Recent (within 3 weeks) chemotherapy because of the increased risk of pulmonary oxygen toxicity
  • History of bleomycin administration because of the increased risk of pulmonary oxygen toxicity
  • Diagnosed Obstructive Sleep Apnea with home continuous pulmonary airway pressure (CPAP) use
  • Home oxygen use
  • Preoperative room air (RA) SpO2 \<90%
  • History of spontaneous pneumothorax
  • Emergency surgery
  • Pregnancy. Women of child-bearing age are routinely screened for pregnancy urine human chorionic gonadotropin, (HCG) on the morning of surgery. Patients with a positive result will be excluded from the study (and most likely will have their elective surgery cancelled).
  • Patient refusal

Key Trial Info

Start Date :

June 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

July 1 2009

Estimated Enrollment :

100 Patients enrolled

Trial Details

Trial ID

NCT00715741

Start Date

June 1 2008

End Date

July 1 2009

Last Update

February 18 2010

Active Locations (1)

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1

University of Utah Health Sciences Center

Salt Lake City, Utah, United States, 84132