Optimizing PEEP in Laparoscopic Bariatric Surgery Using Bedside Lung Ultrasound

Not Applicable

Completed

• Conditions: Atelectasis, Postoperative Pulmonary

• Registration Number: NCT04269564
• Lead Sponsor: Cairo University

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2020-02-03
• Study First Submitted QC: 2020-02-11
• Study First Posted: 2020-02-17
• Study Start: 2020-02-20
• Status Verified: 2020-08
• Primary Completion: 2020-08-18
• Study Completion: 2020-08-19
• Last Update Submitted: 2020-08-19
• Last Update Posted: 2020-08-20

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 40

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 4. Uncompensated cardiac disease (NYHA class 3 or 4) 5. Obstructive or restrictive lung disease 6. Patients on home oxygen therapy 7. Hemodynamic instability and increased intracranial pressure 8. In adittion , any patient who developes hemodynamic instability (MAP <60mmHg) or hypoxia (Po2 less than 60) during the study will excluded from the study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
efficacy of lung ultrasound in optimizing peep	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 Outcome Measures

Name	Time	Method
effect on early postoperative oxygenation	24 hours postoperative	Evaluating the effect of stepwise PEEP approach on the incidence of early postoperative in the first 24 hours atelectasis and oxygenation.

Trial Locations

Locations (1)

Faculty of Medicine; 🇪🇬 Cairo, Egypt