Effects of Recruitment Maneuver on Functional Residual Capacity

Surgery Clinical Trial

Official title:

Comparing Effects of Recruitment Maneuver on Functional Residual Capacity in Patients Undergo Laparoscopic Surgery : A Randomized Prospective Study.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04208737
• Other study ID #: 2018/938
• Status: Completed
• Phase: N/A
• Start date: December 23, 2019
• Est. completion date: June 1, 2020

Study information

• Verified date: June 2020
• Source: Istanbul University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Recruitment maneuver is frequently used in daily anaesthesia routine to prevent athelectasia and ventilation perfusion mismatch. Especially pneumoperitoneum in laparoscopic surgeries affects the functional residual capacity (FRC) negatively. Recently, FRC can be measured at bedside in intensive care units.

The lack of studies evaluating FRC measurements peroperatively and how recruitment maneuvers affect it, attract attention.

Description:

An ICU-ventilator capable to measure the FRC will be used for the mechanical ventilation in patients undergıoing laparoscopic surgery, where anaesthesia maintenance will be achieved with TIVA.

FRC will be measured in different steps of the operation. In the study group, a recruitment manover will be applied to evaluate its effects on FRC.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 50
• Est. completion date: June 1, 2020
• Est. primary completion date: May 1, 2020
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

1-18-65 years age 2-no lung disease 3-laparoscopic cholecystectomies surgery

Exclusion Criteria:

1. <18 years old

2. >65 years old

3. denial of patient

4. patients having one of: lung disease, cardiac failure, severe cardiac valvular disease

Related Conditions & MeSH terms

• Anesthesia
• Atelectasis
• Pulmonary Atelectasis
• Surgery

Intervention

Procedure:
• recruitment maneuver
30 cmH2O pressure 15 seconds

Locations

Country	Name	City	State
Turkey	Istanbul University	Istanbul
Turkey	Istanbul University, Department of Anesthesiology	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Istanbul University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Comparison of FRC measurements at beginning and end of anesthesia	First FRC will be measured after ; the last FRC will be measure bedore the extubation	within max 5 minutes after the intubation and with max 5 minutes before the extubation
Secondary	Positive room air test	in recovery room when patient modified aldrete score = 9 patient SPO2 when breathing in room air If patients' spo2 value = 96%, named as room air test positive	in recovery room 30 minutes after operation