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

Ain Shams University60 enrolled

Overview

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

QUADRUPLE

Enrollment

Conditions

Mechanical Ventilation During Anesthesia

Interventions

anesthesia ventilator machineDEVICE

dynamic lung compliance measurements will be used for detection of the optimum PEEP after alveolar recruitment

lung ultrasoundDEVICE

lung ultrasound views will be used for detection of the optimum PEEP after alveolar recruitment

Eligibility

Sex: ALLMin age: 18 YearsMax age: 65 Years

Medical Language ↔ Plain English

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.

Locations (1)

Ain Shams University hospitals

Cairo, Egypt

Outcomes

Primary Outcomes

detection of the optimum PEEP which is measured in mmHg

the optimum PEEP will be detected after alveolar recruitment either by dynamic lung compliance or by lung ultarsound views

Time frame: intraoperative period

Secondary Outcomes

prevention of postoperative pulmonary complications

patients will be monitored for detection of postoperative pulmonary complictaios as atelectasis , pneumothorax , respiratory failure

Time frame: 1st 24 hour

Data from ClinicalTrials.gov

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