Benign Female Reproductive System Neoplasm Clinical Trial
Official title:
Does Less Trendelenburg Make a Difference in Robotic Assisted Gynecological Procedures?
Patient/Population: Women over the age of 18, who are not pregnant and are undergoing benign,
robotic-assisted gynecologic procedures at Lutheran General Hospital.
Intervention: Decreasing the angle of Trendelenburg for the procedure Control: Steep
Trendelenburg, which is the usual standard of care, to the limit of the operative bed, which
is 30 degrees.
Outcome: Outcomes will include the mean angle of Trendelenburg in the experimental arm and
the difference in Trendelenburg between the two arms. Additional outcomes included will be
end tidal Carbon dioxide, peak airway pressure, mean arterial pressure, heart rate and
arterial Carbon dioxide. Secondary outcomes will include operative time, blood loss and
conversion to laparotomy.
For any patient undergoing robotic-assisted benign laparoscopic procedures at Lutheran
General Hospital were eligible to participate. Each subject was randomized to steep or a
decreased angle of Trendelenburg. While under anesthesia an arterial line would be placed to
monitor vital signs. At specific time points throughout surgery, all vital signs were
measured including End Tidal CO2, peak airway pressure, mean arterial pressure, heart rate
and arterial CO2 as well as operative time, blood loss and conversion to laparotomy.
The arterial line was removed at the conclusion of the case, and all variables will be
compared between the two cohorts.
;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT01566669 -
Efficacy and Safety of Parecoxib on Morphine Patient-controlled Epidural Analgesia (PCEA) After Gynecologic Surgery
|
N/A |