Ultrasound-guided Alveolar Recruitment in Laparoscopic Gynecological Surgery

Seoul National University

Status: Completed

Conditions: Pulmonary Atelectasis

Treatments: Procedure: conventional alveolar recruitment; Procedure: lung ultrasound-guided alveolar recruitment

Study type: Interventional

Funder types: Other

Identifiers

NCT03607240

H-1805-148-948

Details and patient eligibility

About

The study aims to compare the degree of atelectasis between ultrasound-guided alveolar recruitment group and conventional alveolar recruitment group in patients receiving laparoscopic gynecologic surgery

Enrollment: 40 patients

Sex: Female

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adult patients scheduled to undergo elective laparoscopic gynecological surgery (laparoscopic ovarian cystectomy or laparoscopic salpingo-oophorectomy or laparoscopic hysterectomy or laparoscopic myomectomy) under general anesthesia, with ASA physical status classification I or II

Exclusion criteria

• Previous history of lung surgery
• Patients having pneumonia, pneumothorax, or pleural effusion in preoperative chest X-ray
• Patients with COPD, emphysema
• Patients with previous history of pneumothorax, or bullae
• Morbid cardiac disease
• Adolescent aged < 18 years
• Anticipated duration of surgery < 1 hour

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Triple Blind

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40 participants in 2 patient groups

LUS-guided alveolar recruitment

Experimental group

Description:

Lung ultrasound-guided alveolar recruitment maneuver will be performed

Treatment:

Procedure: lung ultrasound-guided alveolar recruitment

conventional alveolar recruitment

Active Comparator group

Description:

Alveolar recruitment maneuver will be provided with positive pressure of 30 cmH2O for 10 seconds.

Treatment:

Procedure: conventional alveolar recruitment