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To study the use of ultrasound guided recruitment manoeuvre on lungs in patients undergoing laparoscopic abdominal surgery under general anaesthesia

Not yet recruiting
Conditions
Medical and Surgical,
Registration Number
CTRI/2022/11/047084
Lead Sponsor
Maulana Azad Medical College
Brief Summary

A study will be conducted on patients undergoing laparoscopic abdominal surgery under general anaesthesia, to evaluate the use of ultrasound guided lung recruitment manoeuvre on perioperative atelectasis. Using lung ultrasound score areas of atelectasis will be assessed and incremental increase of positive end-expiratory pressure will be applied as recruitment manoeuvre. Lung areation will be assessed at the end of surgery to evaluate the effect of recruitment manoeuvre. Data will be compared with another group who will be receiving a positive end-expiratory pressure of 5 cmH2O throughout the surgery.

Detailed Description

Not available

Recruitment & Eligibility

Status
Not Yet Recruiting
Sex
All
Target Recruitment
28
Inclusion Criteria
  • ASA physical health status 1 and 2 2.
  • Laparoscopic abdominal surgeries with expected duration of atleast one hour.
Exclusion Criteria
  • Patients with pre-existing lung disease, cardiovascular disease 2.
  • patients with abnormal preoperative chest radiographs 3.
  • patients with previous history of thoracic surgery 4.
  • Surgeries requiring Trendelenburg position 5.
  • Pregnancy 6.
  • Morbid obesity (BMI more than 30 kg/m2) 7.
  • Patients with increased intracranial pressure.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Degree of lung atelectasis as assessed by lung ultrasound score at the end of surgery, with and without recruitment manoeuvre.Time point T3 (at the end of surgery).
Secondary Outcome Measures
NameTimeMethod
1. Degree of lung atelectasis as assessed by lung ultrasound score at preoperative period, post-pneumoperitoneum and in post-anaesthesia care unit.2. Incidence of intraoperative desaturation (SpO2 less than or equal to 94%)

Trial Locations

Locations (1)

Lok Nayak hospital

🇮🇳

Delhi, DELHI, India

Lok Nayak hospital
🇮🇳Delhi, DELHI, India
Dr Sajid K P
Principal investigator
8903307573
sajidkp.skp@gmail.com

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