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Study to Determine Incidence of Hypoventilation in Patients Who Have Undergone Gastric Bypass
This study is currently recruiting participants.
Verified by University of South Florida, December 2007
Sponsors and Collaborators: University of South Florida
Nellcor
Information provided by: University of South Florida
ClinicalTrials.gov Identifier: NCT00316446
  Purpose

The purpose of this study is to determine if gastric bypass patients experience hypoventilation in the immediate postoperative period, and to what degree.


Condition
Morbid Obesity
Bariatric Surgery

MedlinePlus related topics: Obesity Weight Loss Surgery
U.S. FDA Resources
Study Type: Observational
Study Design: Prospective
Official Title: A Prospective Double Blind Pilot Study to Determine the Incidence of Postoperative Hypoventilation in Patients With Clinically Significant Obesity Who Have Undergone Gastric Bypass Procedures Under General Anesthesia

Further study details as provided by University of South Florida:

Biospecimen Retention:   None Retained

Biospecimen Description:

Estimated Enrollment: 20
Study Start Date: January 2006
Estimated Study Completion Date: December 2008
Estimated Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Detailed Description:

We propose to determine if patients with clinically significant obesity (body mass index, BMI, between 40 kg/m2 and 85 kg/m2), who have undergone gastric bypass procedures under general anesthesia hypoventilate during the initial twenty-four hour postoperative period, and if so, to what degree. Adequacy of ventilation will be assessed by serial arterial blood analyses. Patients will be monitored for SpO2 in the preoperative holding area, in the operating room, and the post-anesthesia care unit (PACU) by conventional and study pulse oximeters. SpO2 data will be collected continuously and recorded on the study pulse oximeter for the entire study period. Arterial blood samples will be drawn for analysis every four hours by in-dwelling arterial catheter, using standard sterile technique. Hypoventilation is defined as an increase in PaCO2 five or more mm Hg above patient's baseline.

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

The study population will include male and female adult patients (age 18-65) with clinically significant obesity (body mass index (BMI) between 40-85 kg/m2), who are approved for gastric bypass surgery for weight loss. Patients must have documented obstructive sleep apnea and use continuous positive airway pressure (CPAP) or bilevel positive airway pressure (BiPAP), and have an American Society of Anesthesiologists (ASA) Physical Status Classification I-III.

Criteria

Inclusion Criteria:

  • Male and female subjects 18 to 65 years of age
  • Clinically significant obesity with a BMI between 40 and 85
  • Candidates approved for gastric bypass surgery at Tampa General Hospital (*Please note: authorization for gastric bypass will be completed prior to enrollment in study; this study does not pay for the cost of the operation.)
  • American Society of Anesthesiologists (ASA) Physical Status Classification I-III
  • Able to understand and sign informed consent

Exclusion Criteria:

  • Patients not able to understand the informed consent process, or unable to understand the research protocol
  • Patients in which placing an arterial catheter would pose a clinically unacceptable health risk, e.g., bleeding disorders, radial artery malformation
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00316446

Contacts
Contact: Tracy A Torrella, MA 813-844-8454 ttorrell@health.usf.edu

Locations
United States, Florida
University of South Florida, Department of Surgery at Tampa General Hospital Recruiting
Tampa, Florida, United States, 33606
Contact: Tracy A Torrella, MA     813-844-8454     ttorrell@health.usf.edu    
Principal Investigator: Scott F Gallagher, MD, FACS            
Sub-Investigator: Lynnette G Osterlund, MD            
Sub-Investigator: Michel Murr, MD, FACS            
Sponsors and Collaborators
University of South Florida
Nellcor
Investigators
Principal Investigator: Scott F Gallagher, MD University of South Florida, Department of Surgery
  More Information

Responsible Party: University of South Florida ( Scott Gallagher, MD, FACS, Principal Investigator )
Study ID Numbers: USF1
Study First Received: April 18, 2006
Last Updated: December 20, 2007
ClinicalTrials.gov Identifier: NCT00316446  
Health Authority: United States: Institutional Review Board

Study placed in the following topic categories:
Body Weight
Signs and Symptoms
Obesity
Respiratory Insufficiency
Respiratory Tract Diseases
Respiration Disorders
Hypoventilation
Signs and Symptoms, Respiratory
Nutrition Disorders
Overweight
Overnutrition
Obesity, Morbid

ClinicalTrials.gov processed this record on January 16, 2009