Lung Ultrasound Versus Dynamic Lung Compliance to Detect the Optimum PEEP After Alveolar Recruitment for Patients Undergoing Laparoscopic Gastric Sleeve Surgery

Not Applicable

Completed

• Conditions: Mechanical Ventilation During Anesthesia
• Interventions: Device: anesthesia ventilator machine; Device: lung ultrasound

• Registration Number: NCT04704596
• Lead Sponsor: Ain Shams University

Brief Summary

The aim of this study is to evaluate The role of transthoracic lung US as a clinical tool in Comparison to dynamic lung compliance for detection of optimum PEEP for obese patients undergoing laparoscopic gastric sleeve surgery.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-12-16
• Study First Submitted: 2021-01-07
• Study First Submitted QC: 2021-01-08
• Study First Posted: 2021-01-11
• Primary Completion: 2022-01-15
• Study Completion: 2022-01-20
• Status Verified: 2022-07
• Last Update Submitted: 2022-07-07
• Last Update Posted: 2022-07-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• physical status American Society of Anesthesiologist(ASA) I or II

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Exclusion Criteria

• Patients refuse ASA physical status more > II
• Patients with pre-existing significant pulmonary disease with abnormalities in spirometry, previous lung surgery, home oxygen therapy and significant cardiac dysfunction.
• Patients with pulmonary hypertension.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
dynamic lung compliance for detection of optimum PEEP	anesthesia ventilator machine	detection of optimum PEEP by measurement of the dynamic lung compliance (by the ventilator machine) after lung recruitment
Lung ultrasound for detection of the optimum PEEP	lung ultrasound	Lung ultrasound will be used to detect the optimum PEEP after lung recruitment

Primary Outcome Measures

Name	Time	Method
detection of the optimum PEEP which is measured in mmHg	intraoperative period	the optimum PEEP will be detected after alveolar recruitment either by dynamic lung compliance or by lung ultarsound views

Secondary Outcome Measures

Name	Time	Method
prevention of postoperative pulmonary complications	1st 24 hour	patients will be monitored for detection of postoperative pulmonary complictaios as atelectasis , pneumothorax , respiratory failure

Trial Locations

Locations (1)

Ain Shams University hospitals; 🇪🇬 Cairo, Egypt