Atelectasis Clinical Trial
Official title:
Does High Intraoperative Inspired Oxygen Reduce Postoperative Arterial Oxygen Saturation?
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 positive end expiratory pressure PEEP and high oxygen together affects patients oxygen levels after surgery.
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 oxygen saturation (pulse oximetry, SpO2) and amount of required supplemental
oxygen in the post-anesthesia care unit (PACU); arterial oxygen partial pressure (PaO2)
after 45 minutes in the PACU; room air SpO2 24 hours after surgery, and amount of
supplemental oxygen required 24 hours after surgery. The purpose of the study is to
determine whether absorption atelectasis induced by use of inspired oxygen concentrations in
excess of 90% leads to a higher risk of hypoxemia, as evidenced by room air oxygen values
and the need for supplemental oxygen. The objective of this study is to determine whether
high inspired oxygen (>0.8), which has been demonstrated to reduce the risk of surgical site
infection in patients undergoing colon surgery and other major surgical procedures has side
effects that limit its use to prevent infection in lower risk operations.
There are four groups of intraoperative ventilation management in this study. Fi02 0.3 plus
PEEP, Fi02 0.3 without PEEP, Fi02 greater than 0.9 plus PEEP 3 to 5 cm of water, Fi02
greater than 0.9 without PEEP.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Investigator), Primary Purpose: Diagnostic
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