Morbid Obesity Clinical Trial
Official title:
Application of Protective Ventilation Improves Oxygenation During and After Anesthesia. Is it Possible That a Special Procedure, an Oxygenation Test, Can Replace Arterial Blood Gases When Evaluating Oxygenation?
The study investigates if applying a special ventilatory strategy during anesthesia for
laparoscopic gastric by pass, produces less atelectasis and better oxygenation in spite of
using 100 % oxygen during pre oxygenation and induction of anesthesia. The study
investigates oxygenation with blood gas samples but also with a new method that might give
more information without the use of blood gas samples.
Primary: Oxygenation in patients with morbid obesity improves if preoxygenation, induction
and maintenance of anesthesia is performed with either a continuous positive airway pressure
(CPAP) or a positive end expiratory pressure (PEEP), respectively, of 10 cm H2O, in
comparison to a technique without CPAP but with a PEEP of 10 cm H2O.
Secondary: The improved oxygenation during anesthesia can be prolonged inte the
postoperative period if emergence from anesthesia is performed without high levels of
oxygen.
n/a
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Factorial Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment
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