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| ID | Type | Description | Link |
|---|---|---|---|
| MariaVittoria Hospital | Other Identifier | MariaVittoria Hospital |
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Atelectasis involving declive areas often occurs during general anesthesia and may persist postoperatively. This phenomenon could be amplified by pneumoperitoneum and Trendelenburg position. Hypothesis: To evaluate whether the shape of the airway pressure-time curve, Stress Index (SI), during constant flow inflation can lead ventilator setting during general anesthesia.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients ventilated with zero end expiratory pressure (ZEEP) | Active Comparator | patients undergoing gynecologic laparoscopic surgery ventilated at zero end expiratory pressure |
|
| Patients ventilated with positive end expiratory pressure | Active Comparator | patients undergoing gynecologic laparoscopic surgery ventilated at PEEP |
|
| recruitment plus PEEP | Active Comparator | patients undergoing gynecologic laparoscopic surgery undergoing recruitment plus PEEP |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| First arm: patients ventilated with zero end expiratory pressure | Procedure |
| ||
| Measure | Description | Time Frame |
|---|---|---|
| Pulmonary Stress Index | Continuous evaluation during time of surgery. Partecipants will be followed for the duration of hospital stay, an expected average of 1 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Cardiac Index | Continuous evaluation during the time of surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Blood gases | Continuous evaluation during the time of surgery |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Emilpaolo Manno, MD | Maria Vittoria Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Maria Vittoria Hospital | Turin | Turin | 10149 | Italy |
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| Patients ventilated with Positive End Expiratory Pressure |
| Procedure |
|
| Patients ventilated with Positive End Expiratory Pressure plus Recruitment maneuver | Procedure |
|
| ID | Term |
|---|---|
| D011014 | Pneumonia |
| D001261 | Pulmonary Atelectasis |
| ID | Term |
|---|---|
| D012141 | Respiratory Tract Infections |
| D007239 | Infections |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D011175 | Positive-Pressure Respiration |
| ID | Term |
|---|---|
| D012121 | Respiration, Artificial |
| D058109 | Airway Management |
| D013812 | Therapeutics |
| D012138 | Respiratory Therapy |
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