Status:
UNKNOWN
Interest of Tracheal Extubation in Positive Pressure on Postoperative Oxygenation in Adult Digestive Surgery: Prospective Randomized Study ExPress
Lead Sponsor:
University Hospital, Rouen
Conditions:
Patients Undergoing Digestive Surgery With Orotracheal Intubation
Eligibility:
All Genders
18-80 years
Phase:
NA
Brief Summary
Evaluation of a postoperative tracheal extubation protocol under positive pressure in accordance with international recommendations. Two arms: the first with "classic" extubation with disconnection o...
Eligibility Criteria
Inclusion
- Age\> 18 and \<80
- Patient going to benefit from general anesthesia with orotracheal intubation for surgery lasting more than 60 minutes at the visceral surgery unit of the Rouen University Hospital.
- Person affiliated to a social security scheme
- Person who has read and understood the newsletter and signed the consent form
Exclusion
- Minor patients or age\> 80 years
- History of Obstructive Sleep Apnea Syndrome
- Chronic respiratory failure / History of chronic obstructive pulmonary disease
- Surgery \< 60 minutes
- Use of methylene blue intraoperatively
- Extubation finally performed in the operating room
- orotracheal intubation difficult to induce general anesthesia
- Suspected inhalation during orotracheal intubation
- Pneumothorax per operative
- Heart failure authenticated by trans thoracic ultrasound \<50%
- Neuromuscular pathologies (myasthenia gravis, myopathies)
- Body mass index\> 35
- Emergency surgery
- Patient with an ASA IV score (ie according to the definition of the American Society of Anesthesiology)
- Major surgical complications (hemorrhagic shock)
- Major anesthetic complications (anaphylactic shock, bronchospasm)
- Pregnant or parturient or lactating woman or woman of childbearing age without proven contraception
- Person deprived of their liberty by an administrative or judicial decision or person placed under the protection of justice / guardianship or curatorship
Key Trial Info
Start Date :
June 1 2020
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
June 1 2022
Estimated Enrollment :
208 Patients enrolled
Trial Details
Trial ID
NCT04381949
Start Date
June 1 2020
End Date
June 1 2022
Last Update
May 11 2020
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