Supplemental Oxygen in Colorectal Surgery: A Quality Improvement Project
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Purpose
Our primary objective is to develop a clinical pathway for care of patients having colorectal surgery at the Clinic. In particular, the investigators would like to determine what intraoperative concentration of oxygen is optimal in our patients. The investigators therefore propose to test the primary hypothesis that supplemental oxygen (80% versus 30%) reduces the risk of a composite of surgical sites infection and potentially oxygen-related wound complications. Secondarily, the investigators will assess the incremental cost benefit of 80% versus 30% oxygen. As a safety measure, enough oxygen will always be given to maintain oxygen saturation (as determined by pulse oximetry) ≥95%.
| Condition | Intervention |
|---|---|
|
Oxygen Concentration During Colorectal Surgery |
Other: 30% oxgen Other: 80% oxygen |
| Study Type: | Observational |
| Study Design: | Time Perspective: Prospective |
- determining optimal intraoperative oxygen concentration [ Time Frame: Day 1 ] [ Designated as safety issue: No ]Our primary objective is to develop a clinical pathway for care of patients having colo-rectal surgery at the Clinic. In particular, we would like to determine what intraoperative concentration of supplemental oxygen (30% or 80%)is optimal in our patients. As a safety measure, enough oxygen will always be given to maintain oxygen saturation (as determined by pulse oximetry) ≥95%.
- cost benefit analysis for oxygen concentration [ Time Frame: Day 1 ] [ Designated as safety issue: No ]Secondarily, we will assess the incremental cost benefit of 80% versus 30% oxygen
| Estimated Enrollment: | 5017 |
| Study Start Date: | November 2012 |
| Estimated Study Completion Date: | November 2014 |
| Estimated Primary Completion Date: | November 2014 (Final data collection date for primary outcome measure) |
| Groups/Cohorts | Assigned Interventions |
|---|---|
|
30 % oxygen
Operating room will be maintained at 30% oxygenation during colorectal surgery.
|
Other: 30% oxgen
Operating room will be maintained at 30% oxygenation during colorectal surgery.
|
|
80 % oxygen
Operating room will be maintained at 80% oxygenation during colorectal surgery.
|
Other: 80% oxygen
Operating room will be maintained at 80% oxygenation.
|
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
adult colorectal surgical patients
Inclusion Criteria:
- adult colorectal surgical patients
Contacts and Locations| Contact: Andrea Kurz, MD | 216-445-9924 | ak@or.org |
| Contact: Gretchen Upton | 216-905-3932 | uptong@ccf.org |
| United States, Ohio | |
| Cleveland Clinic | Recruiting |
| Cleveland, Ohio, United States, 44195 | |
| Contact: Andrea Kurz, MD 216-444-9924 ak@or.org | |
| Contact: Gretchen Upton 216-905-3932 uptong@ccf.org | |
| Principal Investigator: | Andrea Kurz, MD | Cleveand Clinic |
More Information
No publications provided
| Responsible Party: | Andrea Kurz, Principal Investigator, The Cleveland Clinic |
| ClinicalTrials.gov Identifier: | NCT01777568 History of Changes |
| Other Study ID Numbers: | 12-891 |
| Study First Received: | December 20, 2012 |
| Last Updated: | January 28, 2013 |
| Health Authority: | United States: Food and Drug Administration |
ClinicalTrials.gov processed this record on June 18, 2013