Comparison Between Individualized PEEP Ventilation Guided by Driving Pressure and Conventional Lung Protective Strategy in Obese Patients Undergoing Laparoscopic Bariatric Surgery

Mahmoud Gamal Ahmed Arakeeb60 enrolled

Overview

this study to compare the ventilation in obese patients either using Driving pressure ventilation technique or conventional protective lung strategy all by using Lung ultrasound score

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

DOUBLE

Enrollment

Conditions

Obese Patients With Bariatric Surgery Lung Ultrasound Score

Interventions

lung ultrasoundDEVICE

The lung ultrasound score between 0 and 3 (0 = normal A lines, 1 = multiple separated B lines, 2 = coalescing B lines or light beam, 3 = consolidation). The aeration score will be built by the sum of the scores of the 12 segments, with a minimum of 0 and a maximum of 36 according to the aeration loss.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. patients who have a BMI 30-40 kg/m2 2. American Society of Anesthesiologists (ASA) physical status II or III 3. patients aged between 18 and 60 years, 4. patients scheduled to undergo laparoscopic bariatric surgeries. Exclusion Criteria: 1. patients' refusal to participate in the study, 2. previous history of thoracic surgery, 3. Patients with a history of chest disease (COPD, emphysema, or pneumothorax), 4. Patients with abnormal pre-operative chest radiographs, such as pneumonia and pleural effusion, 5. Patients with right-side heart failure or impending failure, 6. Patients with known hypovolemia, and Patients with increased intracranial pressure.

Locations (1)

Tanta university

Tanta, El Gharbia, Egypt

RECRUITING

Outcomes

Primary Outcomes

The change in lung ultrasound score

The primary outcome will be the change in Lung Ultra Sound Score between 0 and 3 (0 = normal A lines, 1 = multiple separated B lines, 2 = coalescing B lines or light beam, 3 = consolidation) from the base line.

Time frame: Periprocedural

Secondary Outcomes

Lung compliance

Lung compliance is a measure of the expansion of the lung.

Time frame: Periprocedural

Hemodynamic parameter as oxygen saturation

Time frame: Periprocedural

Hemodynamic parameter as Heart rate

Time frame: Periprocedural

Hemodynamic parameter as Mean arterial blood pressure

Time frame: Periprocedural

End-tidal carbon dioxide (ETCO2)

Time frame: Periprocedural

Plateau Pressure (Pplat)

Time frame: Periprocedural

Peak airway pressure (Ppeak)

Time frame: Periprocedural

Incidence of early postoperative pulmonary complications

Time frame: At the end of the surgery up to 24 hours after surgery

Length of post anesthesia care unit "PACU" stay.

Time frame: At the end of the surgery up to 2 hours after surgery

Central Contacts

Mahmoud Gamal Arakeeb, Assistant Lecturer

CONTACT

+201062411170 Mahmoud.arakeep@med.tanta.edu.eg

Data from ClinicalTrials.gov

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