Effect of Position and Anesthetic Choice in Intraocular Pressure in Robotic GYN (Gynecologic) Oncology Patients

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexFemale
Age18-99
SponsorUniversity of Florida

About this trial

Steep Trendelenburg positioning and insufflation of the abdominal cavity have shown to increase intra ocular pressure. Different anesthetic techniques can alter intra ocular pressure and a small pilot study showed decrease in Intraocular Pressure (IOP) in robotic case in steep Trendelenburg with IV anesthetics (TIVA).

We want to quantify the degree of change in Intraocular Pressure (IOP) in female patients undergoing robotic procedures for cancer. We want to detect the difference in increase of pressure with total IV anesthesia versus conventional balanced anesthesia

Eligibility criteria

Qualifiers

Females ≥ eighteen years of age

Written informed consent obtained from the subject and the subject agrees to comply with all the study-related procedures

Subjects must be planning to receive robotic surgery for gynecological cancer or high suspicion of cancer (these subject will be withdrawn if it his proven they don't have cancer)

Subjects must be cleared for surgery by the pre-anesthesia clinic

Disqualifiers

Known increased intraocular pressure, prior eye surgery within a month, eye conditions where the ophthalmologist would not allow an intra ocular pressure measurement

Subjects with a previous treatment of diagnosis of increased intraocular pressure

Subjects who have undergone eye surgery in the 30 days prior to consent

Subjects for whom an ophthalmologist has determined cannot undergo intraocular pressure measurement

Trial design

Treatments tested in this trial

  • TIVA
  • Balanced anesthesia

Treatment groups

40 Participants
are divided into 2 treatment groups

Sponsors and collaborators