Pneumoperitoneum Pressure in Colorectal laparoscopic surgery
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients older than 18 years, classification of the American Society of Anesthesiologists (ASA I-III), no cognitive deficits, signed informed consent prior to surgery. Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 95 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 95
Exclusion criteria
Exclusion criteria: Emergency surgery, pregnancy or lactation, immune disorders, kidney or liver disease or advanced-stage cardiopulmonary Patient refusal to participate in the study, patients under 18 years or inability to consent, associated neuromuscular disorders, contraindication for the use of rocuronium / sugammadex, Allergy or hypersensitivity to rocuronium / sugammadex
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the post-operative recovery quality of the Individualized Pneumoperitoneum Pressure Therapy in Colorectal laparoscopic surgery versus standard therapy using a quality validated scale of postoperative recovery (PQRS- Postoperative Quality of Recovery Scale) within 15 minutes (T15) and 40 minutes (T40) of their stay in the Post-Anaesthesia Recovery Unit and the day 1 (POD1) and day 3 (POD3) of the postoperative (POD- Postoperative Day);Secondary Objective: IAP during surgery in the individualized grup;PV0, compliance abdominal dynamic per liter and PIA max;Surgeon experience in laparoscopic surgery, cases annually, years of experience, previous experience with low IAP, Duration of surgery; Basic features of airway pressures (plateauP, peakP, pulmonary Compliance); Spontaneous / coughing movements during surgery and recruitment maneuvers; Postoperative pain in the first 24 hours (area under VAS , opioid rescue, referred pain to the shoulder) and surgical stress and inflammatory markers (neutrophil/limphocite ratio, C-reactive protein, interleukin-6 and procalcitonin) in the day 1 and 3 of postoperative; Selected complications are evaluated using the scale of Clavier-Dindo; inpatient days.;Primary end point(s): Quality validated scale of postoperative recovery (PQRS- Postoperative Quality of Recovery Scale) within 15 minutes (T15) and 40 minutes (T40) of their stay in the Post-Anaesthesia Recovery Unit and the day 1 (POD1) and day 3 (POD3) of the postoperative (POD- Postoperative Day);Timepoint(s) of evaluation of this end point: The variables are collected in a standardized case report form data. PQRS is conduct baseline and after admission to PACU (postanesthesia care unit) at 15 minutes (T15) and 40 minutes (T40) and postoperatively on day 1 (POD1) and day 3 (POD3). Analytical determinations with inflammatory markers and surgical stress are performed during postoperative day 1 (POD1) and day 3 (POD3). | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Patients characteristics; IAP during surgery in the individualized grup; PV0, compliance abdominal dynamic per liter and PIA max; Surgeon experience in laparoscopic surgery, cases annually, years of experience, previous experience with low IAP, Duration of surgery; Basic features of airway pressures (plateauP, peakP, pulmonary Compliance); Spontaneous / coughing movements during surgery and recruitment maneuvers; Postoperative pain in the first 24 hours (area under VAS , opioid rescue, referred pain to the shoulder) and surgical stress and inflammatory markers (neutrophil/limphocite ratio, C-reactive protein, interleukin-6 and procalcitonin) in the day 1 and 3 of postoperative; Selected complications are evaluated using the scale of Clavier-Dindo; inpatient days.;Timepoint(s) of evaluation of this end point: Variables are collected during surgery, in immediate postoperative and during the days 1 and 3, monitoring complications to hospital discharge. | — |
Countries
Spain
Contacts
INSTITUTO DE INVESTIGACIÓN SANITARIA LA FE