Effect of Individualized PEEP on Postoperative Pulmonary Complication in Bariatrics
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age16+
SponsorAin Shams University
About this trial
Ventilation with low tidal volume and high PEEP (positive end expiratory pressure) has been shown to improve oxygenation in patients with ARDS (acute respiratory distress syndrome). In obese patients undergoing laparoscopic bariatric surgeries, the risk of postoperative pulmonary complications (PPCs) increases significantly with general anesthesia. Previous studies have shown that protective lung ventilation strategies could improve intraoperative oxygenation and lung mechanics.
In this study would compare the effect of optimum individualized high PEEP versus standard PEEP - on postoperative pulmonary complications
Eligibility criteria
Qualifiers
Patients were eligible for participation if the met the following criteria
Age between 18 and 60 years old.
Body mass index > 40
Laparoscopic bariatric elective surgery under general anesthesia.
Disqualifiers
Previous lung surgery
ASA status III or IV.
Moderate to severe obstructive or restrictive lung disease .
Persistant intraoperative hemodynamic instability .
Trial design
Treatments tested in this trial
- titated PEEP to best static compliance
Treatment groups
50 Participants
are divided into 2 treatment groupsLocations
1Ain shams university CairoCairo Governorate, Egypt
Sponsors and collaborators
Ain Shams University
Lead sponsor
Source ClinicalTrials.gov