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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SCREENING
Masking
DOUBLE
Enrollment
50
30 cmH2O pressure 15 seconds
Istanbul University
Istanbul, Turkey (Türkiye)
Istanbul University, Department of Anesthesiology
Istanbul, Turkey (Türkiye)
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
Time frame: within max 5 minutes after the intubation and with max 5 minutes before the extubation
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
Time frame: in recovery room 30 minutes after operation
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.