Haemodynamic and Respiratory Effects of a Low Positive End Expiratory Pressure Associated With a Fluid Challenge in Knee-chest Position (OPTIPEP)

Caen University Hospital

Status: Enrolling

Conditions: Surgery

Treatments: Procedure: Optimized PEEP

Study type: Interventional

Funder types: Other

Identifiers

NCT06378710

22-0219

Details and patient eligibility

About

The genu pectoral position is a surgical position used for spine surgery. This surgical position will lead to physiological hemodynamic and respiratory changes during the procedure.

The knee-pectoral position notably induces an increase in CRF and improves pulmonary ventilation/perfusion ratios. On the other hand, it has been shown that it is accompanied by a reduction in cardiac output of approximately 15% Protective perioperative ventilation including a tidal volume between 6 and 8 ml/kg of theoretical ideal weight, PEEP and alveolar recruitment maneuvers is applied in the operating room to reduce postoperative pulmonary complications. The application of high PEEP and the performance of recruitment maneuvers induce arterial hypotension through changes in intra- and transpulmonary pressures. However, investigators hypothesize that the deleterious hemodynamic effects of PEEP seem to counterbalance its beneficial respiratory effects in this particular position.

The combination of the effects of the knee-pectoral position and protective ventilation could be potentiated and be the cause of the sometimes severe arterial hypotension observed in clinical practice. Since this position improves pulmonary ventilation perfusion ratios, the investigators hypothesized that a lower PEEP and the elimination of intraoperative recruitment maneuvers could be beneficial from a hemodynamic point of view without being deleterious in terms of perioperative pulmonary complications. An exploratory study was carried out at the CAEN University Hospital in 2021 under the name PEEP POSTURE (CLERS Agreement No. 2198 of February 17, 2021) on 90 patients aiming to collect hemodynamic and respiratory parameters in 3 surgical positions: supine decubitus, ventral decubitus , pectoral genu. No difference was found in the evolution of respiratory compliance. On the other hand, a significant drop in SBP, DBP and MAP in the pectoral position was shown compared to the supine group as well as greater vascular filling.

The investigators therefore hypothesize that a reduction in PEEP and optimization of vascular filling could help reduce the adverse effects on blood pressure linked to the surgical position.

Enrollment: 84 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient > 18 years old
• Beneficiary of Social Security or CMU
• Surgical operation under general anesthesia requiring a knee-pectoral position
• Dated and signed informed consent

Exclusion criteria

• BMI > 35 kg/m²
• Hemodynamic instability before placing the knee in the pectoral position.
• ASA class IV or V
• Prolonged intervention > 2 hours
• Lack of consent
• Contraindications to the use of esophageal Doppler
• Concomitant third-party clinical trial that may induce a hemodynamic or respiratory change in the patient

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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84 participants in 2 patient groups

control group

No Intervention group

Description:

Standard PEEP (at 7 cmH2o), Vt standardized between \[6- 8\] ml/kg theoretical ideal weight. Taking NIBP every 3 minutes.

Optimized PEEP

Experimental group

Description:

Optimized PEEP (at 2 cmH2O), filling according to VES monitoring by esophageal Doppler before reversal, Vt standardized between \[6-8\] ml/kg theoretical ideal weight. Taking NIBP every 3 minutes.

Treatment:

Procedure: Optimized PEEP