the Use of Intraoperative Bedside Lung Ultrasound in Optimizing "Positive End Expiratory Pressure"PEEP in Patients Undergoing Laparoscopic Bariatric Surgeries
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Atelectasis, Postoperative Pulmonary
- Sponsor
- Cairo University
- Enrollment
- 40
- Locations
- 1
- Primary Endpoint
- efficacy of lung ultrasound in optimizing peep
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
Lung ultrasound imaging is a promising non-invasive, non-radiant, portable and easy to use tool that as yet to be studied in the intraoperative setting.
in our current study, we are trying to reach the optimum PEEP in laparoscopic bariatric patients to prevent postoperative collapse and atlectasis with simple non-invasive procedure.
Investigators
mohamed abdel ghany ali
Anesthesia lecturer
Cairo University
Eligibility Criteria
Inclusion Criteria
- •they are between 18 and 65 years of age
- •BMI more than 35
- •patients with normal respiratory functions
- •ASA 1 or 2
Exclusion Criteria
- •Previous lung surgery
- •Bronchial asthma
- •Contralateral lung bullae
- •Uncompensated cardiac disease (NYHA class 3 or 4)
- •Obstructive or restrictive lung disease
- •Patients on home oxygen therapy
- •Hemodynamic instability and increased intracranial pressure
- •In adittion , any patient who developes hemodynamic instability (MAP \<60mmHg) or hypoxia (Po2 less than 60) during the study will excluded from the study
Outcomes
Primary Outcomes
efficacy of lung ultrasound in optimizing peep
Time Frame: intraoperative and early postoperative first 24 hours after recovery from anaesthesia
to evaluate the effect of lung ultrasound in optimizing peep in obese patients undergoing laparoscopic surgeries on the Incidence of intraoperative hypoxia and atlectasis
Secondary Outcomes
- effect on early postoperative oxygenation(24 hours postoperative)