Abdominal Cancer Clinical Trial
Official title:
Individualized Lung Recruitment Maneuver Guide by Pulse-oximetry in Anesthetized Patients
General anesthesia and mechanical ventilation promotes atelectasis and airway closure. The
open-lung approach (OLA) strategy restores the functional residual capacity. Pulse oximetry
hemoglobin saturation (SpO2) using room air can diagnose shunt induced by lung collapse
during general anesthesia and the SpO2 breathing air was useful to detect the lung´s opening
and closing pressure during a recruitment maneuver (RM) in morbidly obese anesthetized
patients.
Investigators hypothesized that the SpO2 breathing air can personalize the open-lung
approach.
Increase in airway pressure until the SpO2 reaches 97% (lung´s opening pressure) during the incremental positive end-expiratory (PEEP) limb. Decrease in the PEEP level until the SpO2 decreases bellow 97% (lung´s closing pressure) ;
Observational Model: Case-Only, Time Perspective: Prospective
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