Clinical trial NCT06430593: Evaluation of Low Flow and Normal Flow Anesthesia Management in Robotic Assisted Laparoscopic Surgeries
Official title: Evaluation of Low Flow and Normal Flow Anesthesia Management in Robotic Assisted Laparoscopic Surgeries
Study type: OBSERVATIONAL
Overall status: NOT_YET_RECRUITING
Conditions: Oncology
Keywords: low-flow anesthesia
robotic-assisted surgery
general anesthesia
Lead sponsor: Başakşehir Çam & Sakura City Hospital
Sponsor class: OTHER_GOV
First posted: 2024-05-28
Enrollment: 68
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: CASE_ONLY
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Ages 18-75, ASA I,II, Patients undergoing robotic-assisted laparoscopic surgery

Brief summary: Robotic-assisted laparoscopic surgery has many advantages compared to conventional open surgery, such as less postoperative pain, shorter hospital stays, and faster recovery times. Robot-assisted surgeries require general anesthesia. In our clinic, we routinely apply low-flow anesthesia methods in addition to normal flow methods in many surgical applications, according to clinician preferences. The aim of this study is to determine the effects of low flow (0.5 lt/min) and normal flow (\>1 lt/min) anesthesia applications in robotic-assisted laparoscopic surgeries.

To compare perioperative hemodynamic and respiratory parameters in terms of inhalation agent and soda lime consumption.

Detailed description: Robotic surgery is the performance of laparoscopic surgery using a robotic interface. The robotic surgery system used today is called Da Vinci S. In surgeries performed with the help of a robot, the surgeon can work more precisely and with greater maneuverability. Therefore, an operation can be performed that is less traumatic for the patient than other methods.Robotic-assisted laparoscopic surgery has many advantages compared to conventional open surgery, such as less postoperative pain, shorter hospital stays, and faster recovery times. Robot-assisted surgeries require general anesthesia. In these applications, fresh gas flow in anesthesia systems can be made with traditional high, normal or low flow strategies, depending on the preference of the clinicians.Low-flow anesthesia creates a breathing air closer to physiological conditions during anesthesia by heating and humidifying the inhaled gases. In addition, it provides cost advantage by reducing inhalation agent consumption and reduces atmospheric pollution. It is suggested that the use of both fresh gas flow amounts does not pose a safety risk for patients, and that the use of low-flow anesthesia methods should be more widespread due to the advantages it provides. In our clinic, investigators routinely apply low-flow anesthesia methods in addition to normal flow methods in many surgical applications, according to clinician preferences. The aim of this study is to determine the effects of low flow (0.5 lt/min) and normal flow (\>1 lt/min) anesthesia applications in robotic-assisted laparoscopic surgeries.

To compare perioperative hemodynamic and respiratory parameters in terms of inhalation agent and soda lime consumption.

Eligibility criteria: Inclusion Criteria:

* Ages 18-75
* ASA I,II
* Patients undergoing robotic-assisted laparoscopic surgery

Exclusion Criteria:

* ASA III,IV,V
* Those with serious cardiac, respiratory, hepatic, renal disease
* People with mental status disorders, psychiatric illnesses
* Patients with hearing problems and glaucoma
* Desire to be out of work

Primary outcomes:
measure: Hemodynamic Parameters
timeFrame: Perioperative period(approximately 3-6 hours)
measure: Hemodynamic Parameters
timeFrame: Perioperative period(approximately 3-6 hours)
measure: Respiratory parameters
timeFrame: Perioperative period(approximately 3-6 hours)
measure: Respiratory parameters
timeFrame: Perioperative period(approximately 3-6 hours)
measure: Inhalation agent (sevoflurane) consumption
timeFrame: Perioperative period(approximately 3-6 hours)
measure: Soda lime consumption
timeFrame: Perioperative period(approximately 3-6 hours)
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
References: