Airway Management Clinical Trial
Official title:
Airway Effects of PEEP During Anesthesia Induction.
This study investigates airway effects of PEEP during maskventilation at anesthesia induction. Four patient groups will be ventilated with different PEEP and driving pressures to evaluate time to open airway after start of positive pressure maskventilation during anesthesia induction.
The use of continuous positive pressure (CPAP/PEEP) during pre-oxygenation and
mask-ventilation in patients undergoing anesthesia induction is increasing. Continuous
positive pressures have several respiratory benefits with well-documented data on both
spontaneously breathing patients and intubated patients. However the effects of PEEP on
anesthetized patients during mask-ventilation is poorly investigated. In a previous trial
the that the investigators conducted, a PEEP-level of 10 cmH2O during mask ventilation after
anesthesia induction surprisingly delayed time to alveolar ventilation compared to ZEEP. In
order to investigate this phenomenon, four groups of patients will be compared during
preoxygenation and mask ventilation after anesthesia induction.
Each group consisting of 30 patients will be pre-oxygenated and mask ventilated with
different CPAP/PEEP levels and different driving pressures. Time to open airway is measured
as number of respiratory cycles until detection of CO2 on the capnograph.
;
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Outcomes Assessor), Primary Purpose: Treatment
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