Summary

Eligibility
for people ages 18 years and up (full criteria)
Location
at UC Davis
Dates
study started
completion around
Principal Investigator
by Neal Fleming, MD, PhD (ucdavis)

Description

Summary

A study to observe the effect of variations in ventilator settings including tidal volume and PEEP on transpulmonary pressure monitored with an esophageal balloon catheter and to correlate intraoperative transpulmonary pressure variations and intraoperative stroke volume variation changes.

Official Title

A Study of Intraoperative Transpulmonary and Intrathoracic Pressure Changes Associated With Ventilator Management of Tidal Volume and Positive End-expiratory Pressure (PEEP)

Details

This study seeks to observe the effects of variations in ventilator settings on transpulmonary and intrathoracic pressures. More specifically, to observe the impact of variations in tidal volume from 6 mL/kg to 8 mL/kg and PEEP from 0 cm of water (H2O) to 5 cm H2O on transpulmonary and intrathoracic pressures monitored with an esophageal balloon catheter. The impact of this recommended decrease in tidal volume on the clinical utility of stroke volume variation (SVV) as a guide for fluid administration has not been previously examined.

Keywords

Mechanical Ventilation

Eligibility

You can join if…

Open to people ages 18 years and up

  • Patients scheduled for elective surgery requiring general anesthesia and endotracheal intubation.
  • Age ≥ 18

You CAN'T join if...

  • Patients undergoing planned esophageal surgery
  • Patients with significant nasal or esophageal pathology
  • Adults unable to consent
  • Individuals who are not yet adults (infants, children, teenagers)
  • Pregnant women
  • Prisoners

Location

  • UC Davis Medical Center accepting new patients
    Sacramento California 95817 United States

Lead Scientist at University of California Health

  • Neal Fleming, MD, PhD (ucdavis)
    Professor Emeritus, MED: Anesth & Pain Medicine, School of Medicine. Authored (or co-authored) 68 research publications

Details

Status
accepting new patients
Start Date
Completion Date
(estimated)
Sponsor
University of California, Davis
ID
NCT05859672
Study Type
Observational
Participants
Expecting 150 study participants
Last Updated