Pulmonary Atelectasis Clinical Trial
Official title:
A Comparative Study Between Thoracic Epidural Anesthesia in Non-Intubated Video-Assisted Thoracoscopes and the Conventional General Anesthesia With One Lung Ventilation
Video-assisted thoracic surgery (VATS) is usually performed with general anesthesia and single lung ventilation. However, performing thoracic surgery under awake regional anesthesia has several potential advantages including avoidance of airway trauma and ventilator dependence associated with endotracheal intubation, besides promoting enhanced recovery after surgery and shorter mean hospital stay.
The aim of this study is to investigate the feasibility and the effect of Thoracic Epidural Anaesthesia for awake thoracic surgery to speed up recovery in patients as well as avoiding the complications accompanying General Anesthesia with one lung ventilation. Type of Study: Prospective randomized clinical study. Study Setting: This study will be conducted in Ain Shams University Hospitals.. Study Period: Expected for two years starting from 2019. Sampling Method: Randomized sampling by a computer generated random numbers table. Sample Size: 40 patients. Sample size was calculated using PASS 11 program for sample size calculation and according to the (Pompeo et al., 2004) study, the mean PaO2 perioperatively in the awake group = -3±1.5 mmHg and in the second group = -6.5±1.83 mmHg. Sample size of 40 cases per group (total 40) can detect this difference with power 100% and α-error 0.05. ;
| Status | Clinical Trial | Phase | |
|---|---|---|---|
| Completed |
NCT02870842 -
Fraction of Inspired Oxygen and Atelectasis in Children
|
N/A | |
| Withdrawn |
NCT02952066 -
Expressions of TRPV1 in Airway of Asthmatics
|
N/A | |
| Recruiting |
NCT03311347 -
Atelectasis Formation: Role of Positive Pressure Breathing, Hyperoxia, and Hypobaria
|
N/A | |
| Completed |
NCT04116567 -
Lung Ultrasonography After Laparoscopic Gynecologic Surgery
|
||
| Completed |
NCT02584023 -
Lung Ultrasound and Alveolar Recruitment in Mechanically Ventilated Infants
|
N/A | |
| Recruiting |
NCT06205212 -
High-flow Nasal Oxygenation During Preoxygenation and Atelectasis
|
N/A | |
| Completed |
NCT04566419 -
poStoperative Anesthesia Care: Facial Mask vs Hfnc and Thoracic Ultrasound for Reduction of Atelectasis Incidence
|
N/A | |
| Completed |
NCT04993001 -
Impact of an Open Lung Extubation Strategy on Postoperative Pulmonary Complications
|
N/A | |
| Completed |
NCT03630484 -
Ventilator Hyperinflation and Manual Rib Cage Compression
|
N/A | |
| Completed |
NCT02262182 -
Interest of Positive Expiratory Pressure (PEP) Delivery by EzPAP® After Cardiac Surgery in the Management of Postoperative Atelectasis
|
N/A | |
| Completed |
NCT01476254 -
Respiratory Complications After Laparoscopic Surgery
|
N/A | |
| Withdrawn |
NCT04566172 -
Preoperative Optimization to Improve Functional Status
|
N/A | |
| Completed |
NCT03763461 -
HFNC During Awake Craniotomy - Impact on Patient Comfort
|
N/A | |
| Recruiting |
NCT06430229 -
Atelectasis Frequency in Different Ventilation Modes
|
N/A | |
| Recruiting |
NCT06181279 -
Effects of Individualized PEEP Guided by Driving Pressure on Postoperative Atelectasis in Patients With Morbid Obesity
|
N/A | |
| Enrolling by invitation |
NCT05434624 -
QT Distance and P Dispersion in ECG in Patients Having Bronchoscopy in the ICU
|
N/A | |
| Withdrawn |
NCT02070445 -
Ventilation During Cardiopulmonary Bypass (CPB) for Cardiac Surgery
|
||
| Recruiting |
NCT02431455 -
The Effect of Postoperative Incentive Spirometry on Pulmonary Function and Pulmonary Complications in Bariatric Surgery
|
N/A | |
| Completed |
NCT03686631 -
The Digital Incentive Spirometer (DIS): Improving Adherence to Incentive Spirometry
|
N/A | |
| Active, not recruiting |
NCT03009331 -
Descriptive and Comparative Study of Respiratory Function in the Postoperative Cardiac Surgery Patient
|
N/A |