Clinical Significance of Alveolar Recruitment Maneuver During Bariatric Surgery

Centre Hospitalier Universitaire de Nice

Status: Completed

Conditions: Obesity

Treatments: Procedure: Anesthesia: standardized; Procedure: Anesthesia: alveolar recruitment maneuver

Study type: Interventional

Funder types: Other

Identifiers

NCT02592226

15-PP-11

Details and patient eligibility

About

The ventilation of the patient under general anesthesia is an old problem and extensively studied, especially in visceral surgery, higher risk of postoperative complications. Studies have recently shown the impact of a lung-protective ventilation in visceral surgery, however obese patients are often excluded, and alveolar recruitment maneuver has never been studied independently.

The investigators are conducting a randomized controlled prospective study to investigate the clinical value to achieve alveolar recruitment maneuver routinely in patients undergoing bariatric surgery.

The objective is to show the reduction in dyspnea, oxygen dependency: reflection of atelectasis and the incidence of postoperative complications.

Enrollment: 230 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients surgery for bariatric surgery (sleeve, gastric bypass, gastric banding ablation)
• planned surgery,
• ASA 1-2-3,

Exclusion criteria

• Severe COPD
• Severe emphysema,
• Pneumothorax,
• Right sided heart failure,
• Severe heart failure
• Emergency surgery,
• ASA 4

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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230 participants in 2 patient groups

Control group

Active Comparator group

Treatment:

Procedure: Anesthesia: standardized

Protocol Group

Experimental group

Treatment:

Procedure: Anesthesia: alveolar recruitment maneuver