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

Ain Shams University

Status: Completed

Conditions: Mechanical Ventilation During Anesthesia

Treatments: Device: lung ultrasound; Device: anesthesia ventilator machine

Study type: Interventional

Funder types: Other

Identifiers

NCT04704596

FMASU R 127/2020

Details and patient eligibility

About

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.

Enrollment: 60 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

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 significant cardiac dysfunction.
• Patients with pulmonary hypertension.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Quadruple Blind

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60 participants in 2 patient groups

dynamic lung compliance for detection of optimum PEEP

Active Comparator group

Description:

detection of optimum PEEP by measurement of the dynamic lung compliance (by the ventilator machine) after lung recruitment

Treatment:

Device: anesthesia ventilator machine

Lung ultrasound for detection of the optimum PEEP

Active Comparator group

Description:

Lung ultrasound will be used to detect the optimum PEEP after lung recruitment

Treatment:

Device: lung ultrasound