Patients ASA I-III, undergoing laparoscopic abdominal surgery will be randomly assigned, into one of two groups, namely group C-PEEP , that will be the control group ; and group I-PEEP, where alveolar recruitment maneuvres will take place in order to identify each patient\'s individualized optimal PEEP. All patients will receive a standardized anesthesia regimen. The lung ultrasound score will be evaluated in all patients in the PACU and then respiratory complications will be recorded on the 24th hour, 48th hour, 7th day and 30the day, postoperatively.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
TRIPLE
Enrollment
69
PEEP after alveolar reruitment maneuvres
PEEP 5 cmH2O
Asklepieion Hospital of Voula
Athens, Attica, Greece
Respiratory complications
Postoperative complications (atelectasis, bronchospasm, pneumonia, respiratory failure, ARDS, prolonged mechanical ventilations, reintubation, pleural infusion, COPD exacerbation)
Time frame: 30 days
Pplat
Time frame: intraoperatively
SpO2
Time frame: intraoperatively
PCO2
Time frame: intraoperatively
PaO2/FiO2
Time frame: intraoperatively
Cdyn
Time frame: intraoperatively
Ppeak
Time frame: intraoperatively
MAP
Time frame: intraoperatively
heart rate
Time frame: intraoperatively
LUS score
Ultrasonographic findigs
Time frame: Preoperatively and 30 minutes postoperatively
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.