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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00642005
Registration number
NCT00642005
Ethics application status
Date submitted
17/03/2008
Date registered
24/03/2008
Date last updated
11/03/2014
Titles & IDs
Public title
Humidification in Laparoscopic Colonic Surgery
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Scientific title
Humidification in Laparoscopic Colonic Surgery - A Double Blinded, Randomised Controlled Trial.
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Secondary ID [1]
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Laphumid
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Peritoneal Inflammation
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Condition category
Condition code
Inflammatory and Immune System
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Other inflammatory or immune system disorders
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Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Surgery - Fisher and Paykel Humidifier (MR860)
Treatment: Surgery - Standard insufflation
Experimental: 1 - Humidified and warmed carbon dioxide laparoscopic insufflation.
Placebo comparator: 2 - Cold and dry carbon dioxide laparoscopic insufflation.
Treatment: Surgery: Fisher and Paykel Humidifier (MR860)
Humidification to 98% relative humidity, and warming to 37 degrees C of laparoscopic insufflate. This will be done for the duration of the operation.
Treatment: Surgery: Standard insufflation
No humidifier or warmer will be used (device switched off). This will deliver laparoscopic insufflate at 0% humidity and 20 degrees C.
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Intervention code [1]
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Treatment: Surgery
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Pain by visual analogue scale
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Assessment method [1]
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Timepoint [1]
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preop, 2 hours, 4 hours, 8 hours, 12 hours, day 1, day 2, day 3, day 7, day 14, day 30, day 60
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Primary outcome [2]
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Morphine equivalent analgesia use
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Assessment method [2]
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Timepoint [2]
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PACU, day of OT, day 1, day 2, day 3, total in hospital
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Secondary outcome [1]
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Intraoperative temperature by esophageal probe
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Assessment method [1]
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Timepoint [1]
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15 min intervals during surgery
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Secondary outcome [2]
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Plasma and peritoneal cytokine concentration
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Assessment method [2]
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Timepoint [2]
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Morning of surgery
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Secondary outcome [3]
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Antiemetic use
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Assessment method [3]
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Timepoint [3]
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PACU, day of OT, day 1, day 2, day 3
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Secondary outcome [4]
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Return of bowel function - passage of flatus, bm, and eating first meal
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Assessment method [4]
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Timepoint [4]
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daily
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Secondary outcome [5]
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Any complications
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Assessment method [5]
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Timepoint [5]
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Up to 3 months postoperatively
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Secondary outcome [6]
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Surgical recovery by SRS
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Assessment method [6]
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Timepoint [6]
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preop, day 1, day 2, day 3, day 7, day 30, day 60
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Eligibility
Key inclusion criteria
* All patients 15 years and over undergoing elective laparoscopic colonic resection at all three auckland hospitals
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Minimum age
15
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Acute cases
* Stoma formation (preop or intraop decision)
* Decision to change to open surgery preoperatively (intraop conversions included as intention to treat)
* Rectal lesions defined as 15 cm from anal verge on imaging and/or sigmoidoscopy / colonoscopy
* Steroid dependence
* Inability to consent or answer SRS questions due to cognitive impairment or language barrier
* ASA >= 4
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Single group
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/04/2008
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/08/2009
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Sample size
Target
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Accrual to date
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Final
82
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Recruitment in Australia
Recruitment state(s)
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Otahuhu
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Country [2]
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New Zealand
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State/province [2]
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Auckland
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Auckland, New Zealand
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
Laparoscopic surgery allows surgeons to remove bowel via small incisions. To allow insertion of a camera and instruments, cold and dry gas is blown into the abdominal cavity. This project investigates the use of warmed, humidified gas in laparoscopic surgery. The hypothesis is that this will result in less damage to internal surfaces, and shorten recovery time. Previous studies have demonstrated positive outcomes in laparoscopic gallbladder operations. The investigators plan to study patients undergoing laparoscopic colon operations, as these operations are longer and the effect of humidification will be magnified. The investigators will enroll 74 patients: 37 will have the operation with cold dry gas, and 37 will have warm, humidified gas. The investigators will measure intraoperative heat loss, postoperative pain, fatigue, nausea and vomiting, and time to return of bowel function.
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Trial website
https://clinicaltrials.gov/study/NCT00642005
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Trial related presentations / publications
Sammour T, Hill AG. Five year follow-up of a randomized controlled trial on warming and humidification of insufflation gas in laparoscopic colonic surgery--impact on small bowel obstruction and oncologic outcomes. Int Surg. 2015 Apr;100(4):608-16. doi: 10.9738/INTSURG-D-14-00210.1.
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Public notes
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Contacts
Principal investigator
Name
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Andrew G Hill, MBChB, MD, FRACS
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Address
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University of Auckland, New Zealand
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT00642005
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