Effects of Intraoperative Continuous Airway Pressure (CPAP) on the Inflammatory Response to One-lung Ventilation
Conditions
Lung Cancer
Conditions: Keywords
Lung Cancer, CPAP, PPC, lobectomy, One-lung ventilation
Study Type
Interventional
Study Phase
N/A
Study Design
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator, Outcomes Assessor), Primary Purpose: Treatment
Intervention
Name: CPAP (Continuous airway pressure)
Type: Procedure
Overall Status
Recruiting
Summary
This is a randomized placebo-controlled trial studying the effects of intraoperative continuous airway pressure (CPAP) on the inflammatory response of the lung with cancer undergoing lobectomy.
Detailed Description
Pulmonary lobectomy induces an inflammatory response of this lung caused by intraoperative atelectasis and re-expansion. This inflammatory response can be attenuated with treatment, also decreasing postoperative pulmonary complications (PPC). Thus, avoiding complete atelectasis with partial insufflation of the lung during surgery could be useful to decrease inflammatory response and PPC.
Criteria for eligibility
Healthy Volunteers: No
Maximum Age: 80 Years
Minimum Age: 18 Years
Gender: Both
Criteria: Inclusion Criteria:

- Adults (18-80 aged) with American Society of Anesthesiologists physical status I-III, scheduled to undergo elective thoracic surgery with lung resection performed through thoracotomy, and requiring OLV (one lung ventilation)during surgery.

Exclusion Criteria:

- Ongoing treatment with any dose of systemic or topical steroids, acute pulmonary or extrapulmonary infections (elevated C-reactive protein [CRP]), history of recurrent pneumothoraces, previous thoracic surgery.
Location
Hospital del Mar
Barcelona, Spain
Status: Recruiting
Contact: Lluis Gallart, PhD - 0034 93 2483350 - Lgallart@parcdesalutmar.cat
Start Date
May 2011
Completion Date
December 2014
Sponsors
Parc de Salut Mar
Source
Parc de Salut Mar
Record processing date
ClinicalTrials.gov processed this data on July 28, 2015
ClinicalTrials.gov page