Evaluation of Apnea Tolerance in Bariatric Patients Following Rapid-sequence Induction of Anesthesia

University of Kansas

Status: Completed

Conditions: General Surgery

Treatments: Other: 55° head-up position; Other: 25° head-up position

Study type: Interventional

Funder types: Other

Identifiers

NCT03056807

11506

Details and patient eligibility

About

The purpose of this study is to compare the effect of the 25° head-up position versus the 55° head-up position on tolerable apneic time (TAT) in bariatric patients scheduled for laparoscopic adjustable gastric band surgery following maximum preoxygenation and rapid-sequence induction (RSI) of anesthesia.

Enrollment: 65 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• American Society of Anesthesiologists (ASA) physical status II-III patients
• Body Mass Index (BMI) of 40-60
• Scheduled for an elective laparoscopic adjustable gastric band surgery

Exclusion criteria

• Patients with abnormalities of the upper airway that require awake tracheal intubation
• Asthma
• Chronic obstructive pulmonary disease
• Pregnant patients

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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65 participants in 2 patient groups

A - 25° head-up position

Active Comparator group

Description:

Participants will be positioned at a 25° head-up position for procedure.

Treatment:

Other: 25° head-up position

B - 55° head-up position

Active Comparator group

Description:

Participants will be positioned at a 55° head-up position for procedure.

Treatment:

Other: 55° head-up position