RecruitingNot ApplicableNCT07097129

Effect of Mask Ventilation on Surgical Field View in Robotic Colorectal Surgery

Effect of Mask Ventilation on Surgical Field View in Robotic Colorectal Surgery: A Randomized Controlled Clinical Trial


Sponsor

Koç University

Enrollment

60 participants

Start Date

Aug 1, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this clinical trial is to demonstrate the effects of pressure-controlled mask ventilation and non-mask ventilation during anaesthesia induction on gastric insufflation, gastric dilatation, increased bowel movements and bowel distension and to demonstrate its effect on surgical vision in robotic colorectal surgeries. The main questions it aims to answer are: How will non-mask ventilation during anaesthesia induction effect surgical vision in robotic colorectal surgeries compared to mask ventilation? How will non-mask ventilation during anaesthesia induction effect gastric dilatation and bowel movements in robotic colorectal surgeries compared to mask ventilation? If there is a comparison group: Researchers will compare mask ventilation and non-mask ventilation during anaesthesia induction to see if the surgical vision, gastric dilatation and bowel movements are effected. Participants will be divided in two groups: No mask ventilation group: Outside of spontaneous breathing during preoxygenation, orotracheal intubation will be performed at the 60th second after anesthesia induction without ventilation, using video laryngoscopy. Mask ventilation group: After anesthesia induction, mask ventilation will be performed with a respiratory rate of 10 and 15 cmH2O pressure, followed by orotracheal intubation using video laryngoscopy at the 60th second. Researchers will compare the results between the groups to see the surgical vision, gastric dilatation and bowel movements. The hypothesis of this study is that non-mask ventilation will provide better surgical vision, less gastric dilatation and less bowel movements in robotic colorectal surgeries.


Eligibility

Min Age: 18 YearsMax Age: 80 Years

Inclusion Criteria1

  • Patients between the ages of 18 and 80 who are scheduled to undergo robotic colorectal surgery will be included in the study.

Exclusion Criteria4

  • Patients with preoperative prediction of possible difficult intubation
  • Presence of restrictive/obstructive lung disease requiring CPAP application for treatment in preoperative anaesthesia evaluation
  • Patients with cardiovascular diseases (EF < 20%, advanced aortic stenosis, decompensated heart failure) that require change of at least one of the drugs to be used for anaesthesia induction
  • Presence of allergy to any of the drugs to be used in anaesthesia induction and maintenance

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Interventions

PROCEDUREMask Ventilation

Mask ventilation with mechanical ventilator set to pressure controlled ventilation, 15 cmH20 peak pressure, 10 respiratory rates per minute


Locations(1)

Koç University Hospital

Istanbul, Zeytinburnu, Turkey (Türkiye)

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NCT07097129


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