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Other Disorders of the Eye Following Cataract SurgeryNCT03923283

The Measurements of End-tidal Carbondioxide Levels

An observational study of Other Disorders of the Eye Following Cataract Surgery, run by Duzce University.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Purpose: The aim of this retrospective study is to investigate the end tidal carbon dioxide pressure (ETCO2) values in order to determine the carbon dioxide accumulation under drape and to investigate it's hemodynamic effects based on anesthetic and surgical records in eye surgeries under local anesthesia. Read more about this study

Who is it for?
Ages 18 to 65 years
How many people
42 participants
Where
No sites listed yet
Study dates
1 Jan 2016to 31 Dec 2016
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 65 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: the patients who were followed with capnograph (Capnostream 20 p, Oridion, Israel) by the anesthesiology departhment in the operating room at Duzce University Faculty of Medicine hospital during the period of January 2016 to December 2016 was collected.

Who may be able to join

  • Datas were collected after approval from the Duzce Faculty of Medicine Noninvasive Researches Ethics Committee (02.01.2017), the datas of the patients who were followed with capnograph (Capnostream 20 p, Oridion, Israel) by the anesthesiology departhment in the operating room at Duzce University Faculty of Medicine hospital during the period of January 2016 to December 2016 .

Who cannot join

  • Patients with chronic obstructive pulmonary disease, diabetes mellitus and sedative usage were excluded from the study.

About this study

Official title: End-tidal Carbondioxide Levels Under Surgery Drapes During Local Eye Surgery: Retrospective Study

Purpose: The aim of this retrospective study is to investigate the end tidal carbon dioxide pressure (ETCO2) values in order to determine the carbon dioxide accumulation under drape and to investigate it's hemodynamic effects based on anesthetic and surgical records in eye surgeries under local anesthesia.

Methods: The data were collected from anesthetic records of the patients who were followed with noninvasive capnograph (Capnostream 20 p, Oridion®, Israel) by the anesthesiology department in the operating room at Duzce University Faculty of Medicine Hospital during the period of January 2016 to December 2016.

Read more

Collected data from the 42 patients' records were systolic, diastolic and mean arterial pressures, operation duration, total local anesthetic and, heart rate, ST segment analysis, ETCO2 pressure, pulse oximeter values.

The time periods of collected datas were determined as: after the anesthesia and before drape closure (baseline level), at 10th, 15th, 20th, 45th of the surgery and 5 minutes after drape removal.

Read the detailed description

After approval from the Duzce Faculty of Medicine Noninvasive Researches Ethics Committee (02.01.2017), the datas were collected patients anesthetic forms who were followed with capnograph (Capnostream 20 p, Oridion, Israel) by the anesthesiology department for eye surgery in the operating room at Duzce University Faculty of Medicine Hospital during the period of 01 January 2016 to 31 December 2016. It was observed that 42 patient records met the study criteria. Demographic and clinical datas were abstracted from anesthetic and clinical records.

Age, weight, height of the patients, operation types, operation duration times, local anesthetic performing types, noninvasive systolic, diastolic and mean arterial pressures, cardiac rates, ST segment analysis (Datex Ohmeda monitor, GE Health Care, Finland) ( This monitor use for the routine monitorisation in the eye surgery operating room in our hospital) systolic, diastolic and mean arterial pressure measurements, end tidal carbon dioxide levels, pulse oximeter values were extracted from anesthetic forms retrospectively.

Arrhythmia recordings were evaluated as (yes / no) over time periods. Surgical field was covered with reusable cotton fabric drape or dispossible surgical adhesive plastic drape (SteriDrape, 3M). We included the patients records who were covered with the same kind of drapes (SteriDrape, 3M). We excluded records with another type of drapes usage or without any data about drape type to provide the homogenisation and clearity of the results.

Datas were collected from the anesthetic forms which time periods were determined as the baseline, before closing drape, at 10th, 15th, 20th, 45th minutes after covering and 5 minutes after drape removal. Records with pulmonary disease, diabetes mellitus and sedative usage, alcohol usage were excluded from the study.

The comparisons were made with patients basal status and time periods statistically.

Keywords
End-tidal carbondioxide, surgery drapes, carbondioxide accumulation, eye surgery

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. The Measurements of End-tidal Carbondioxide Levels Under Surgery Drapes During Local Eye Surgery

    To determine the difference between capnostream capnography and carbon dioxide levels measured at various times in patients undergoing eye surgery under local anesthesia.

    Measured: 1 hour

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Apr 2019
  2. Study start1 Jan 2016
  3. Primary completion31 Dec 2016
  4. Study completion31 Dec 2016

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Case-control
Time perspective
Retrospective
Enrolment
42 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03923283
Sponsor's protocol ID
Duzce University
Status last verified
Apr 2019
First submitted
5 Jun 2017
Last updated
22 Apr 2019
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Undecided

Publications

  • Dinsmore M, Han JS, Fisher JA, Chan VW, Venkatraghavan L. Effects of acute controlled changes in end-tidal carbon dioxide on the diameter of the optic nerve sheath: a transorbital ultrasonographic study in healthy volunteers. Anaesthesia. 2017 May;72(5):618-623. doi: 10.1111/anae.13784. Epub 2017 Feb 8.

    PubMed 28177116
  • Allen JG, MacNaughton P, Satish U, Santanam S, Vallarino J, Spengler JD. Associations of Cognitive Function Scores with Carbon Dioxide, Ventilation, and Volatile Organic Compound Exposures in Office Workers: A Controlled Exposure Study of Green and Conventional Office Environments. Environ Health Perspect. 2016 Jun;124(6):805-12. doi: 10.1289/ehp.1510037. Epub 2015 Oct 26.

    PubMed 26502459
  • Howarth C, Sutherland B, Choi HB, Martin C, Lind BL, Khennouf L, LeDue JM, Pakan JM, Ko RW, Ellis-Davies G, Lauritzen M, Sibson NR, Buchan AM, MacVicar BA. A Critical Role for Astrocytes in Hypercapnic Vasodilation in Brain. J Neurosci. 2017 Mar 1;37(9):2403-2414. doi: 10.1523/JNEUROSCI.0005-16.2016. Epub 2017 Jan 30.

    PubMed 28137973
  • Weeke LC, Dix LML, Groenendaal F, Lemmers PMA, Dijkman KP, Andriessen P, de Vries LS, Toet MC. Severe hypercapnia causes reversible depression of aEEG background activity in neonates: an observational study. Arch Dis Child Fetal Neonatal Ed. 2017 Sep;102(5):F383-F388. doi: 10.1136/archdischild-2016-311770. Epub 2017 Jan 27.

    PubMed 28130246
  • Courtney P. The National Cataract Surgery Survey: I. Method and descriptive features. Eye (Lond). 1992;6 ( Pt 5):487-92. doi: 10.1038/eye.1992.103.

    PubMed 1286712
  • Report of the Joint Working Party on anesthesia in Ophthalmic Surgery. Royal Collage of Anaesthetists and Collage of Ophthalmologists, March (1993).

  • Jerusalem E, Starling EH. On the significance of carbon dioxide for the heart beat. J Physiol. 1910 May 13;40(4):279-94. doi: 10.1113/jphysiol.1910.sp001370. No abstract available.

    PubMed 16993008

Questions about this trial

What is this clinical trial studying?

An observational study of Other Disorders of the Eye Following Cataract Surgery, run by Duzce University.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Apr 2019. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

The Measurements of End-tidal Carbondioxide Levels Under Surgery Drapes During Local Eye Surgery (time frame: 1 hour). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03923283, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Apr 2019.

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