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Transpulmonary Pressure Under Stressing Conditions

Conditions
Ventilator-Induced Lung Injury
Registration Number
NCT03746236
Lead Sponsor
Regina Elena Cancer Institute
Brief Summary

Study aims to prospectively evaluate if the pressures normally applied during mechanical ventilation in laparoscopic surgery induce stress on the pulmonary wall. To do this is used measure the variation of esophageal pressure, as indirect index of the pleural pressure and therefore of the transpulmonary pressure, in response to changes in airway pressures in a group of patients undergoing robotic assisted radical prostatectomy or videolaparoscopy.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
20
Inclusion Criteria
  • ASA (american society of anesthesiologists) score ≤ III
  • Patients underwent laparoscopic prostatectomy
Exclusion Criteria
  • BMI (body mass index) ≥ 30
  • Impossibility to insert nasogastric tube
  • Anatomic rib cage alterations

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Incidence of postoperative acute complications24 hours

Evaluation of pulmonary alterations using pre and postoperative ultrasonographic visualization

Dosage of inflammatory mediators24 hours

Dosage of metalloproteinase and interleukin 8 in bronchoaspiration

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Regina Elena National Cancer Institute

🇮🇹

Rome, Italy

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