AVATaR

• Research type

  Research Study

• Full title

  Assessment of V​entilatory Management during General Anaesthesia for Robotic Surgery and its Effects on Postoperative Pulmonary Complications: A prospective observational multicentre study.

• IRAS ID

  230220

• Contact name

  Gary H Mills

• Contact email

  g.h.mills@sheffield.ac.uk

• Sponsor organisation

  The Hospital Israelita Albert Einstein

• Clinicaltrials.gov Identifier

  NCT02989415

• Duration of Study in the UK

  1 years, 0 months, 1 days

• Research summary

  Lung complications after major surgery are the most common causes of serious problems during recovery. Because surgery is so common, this affects a huge number of people each year, especially those who are older, frailer or who have other illnesses. Robotic surgery has been introduced and frequently requires the patient to be tilted head-downwards, meaning that the lungs may be squashed.
  Ventilation is routinely needed to make breathing possible. Unfortunately, this puts pressure on some areas of the lungs more than others, and some parts may collapse.
  We do not know how much of a problem this is, nor do we know whether certain current practices make it more likely. Therefore a study to assess what is going on, including ventilation pressures as well as other aspects of the ventilation, anaesthesia and surgery may help us describe the problems and develop plans for reducing complications in the future.
  We plan to take a one month snapshot of robotic surgery, recruiting about 100 patients in the UK. Worldwide it is anticipated that more than 700 patients will be recruited. Data will be gathered to see what complications occur and what factors, including the way we ventilate patients, are most commonly associated with complications. Patients will be recruited ahead of their surgery and followed up in detail for a minimum of 5 days after surgery. No additional tests will be required from these patients, but we will analyse the results of tests gathered as part of their normal care.
  This study will help us assess the greatest contributory factors to lung complications in this group, which is important because the use of robotic surgery is increasing.

• REC name

  Yorkshire & The Humber - Bradford Leeds Research Ethics Committee

• REC reference

  18/YH/0235

• Date of REC Opinion

  13 Aug 2018

• REC opinion

  Further Information Favourable Opinion