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

Mechanical Ventilation During Anesthesia Clinical Trial

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04704596
• Other study ID #: FMASU R 127/2020
• Status: Completed
• Phase: N/A
• Start date: December 16, 2020
• Est. completion date: January 20, 2022

Study information

• Verified date: July 2022
• Source: Ain Shams University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: January 20, 2022
• Est. primary completion date: January 15, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

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

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 signi?cant cardiac dysfunction.

• Patients with pulmonary hypertension.

Related Conditions & MeSH terms

• Mechanical Ventilation During Anesthesia

Intervention

Device:
• anesthesia ventilator machine
dynamic lung compliance measurements will be used for detection of the optimum PEEP after alveolar recruitment
• lung ultrasound
lung ultrasound views will be used for detection of the optimum PEEP after alveolar recruitment

Locations

Country	Name	City	State
Egypt	Ain Shams University hospitals	Cairo

Sponsors (1)

Lead Sponsor	Collaborator
Ain Shams University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	detection of the optimum PEEP which is measured in mmHg	the optimum PEEP will be detected after alveolar recruitment either by dynamic lung compliance or by lung ultarsound views	intraoperative period
Secondary	prevention of postoperative pulmonary complications	patients will be monitored for detection of postoperative pulmonary complictaios as atelectasis , pneumothorax , respiratory failure	1st 24 hour