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Investigating the effect of alveolar recruitment on the incidence of postoperative pulmonary complication in patients who undergo laparoscopic surgery
Comparing ventilation with PEEP (positive end expiratory pressure) to ventilation with PEEP and alveolar recruitment, we expect that alveolar recruitment will reduce the incidence of pulmonary complication in patients undergo laparoscopic surgery. Ventilation with only PEEP is generally not enough to reduce postoperative pulmonary complication effectively.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No alveolar recruitment maneuver | No Intervention | Applying ventilation with tidal volume 6-8mL/kg (ideal body weight) and PEEP 5cmHâ‚‚O | |
| Alveolar recruitment maneuver | Active Comparator | Applying ventilation with tidal volume 6-8mL/kg (ideal body weight) and PEEP 5cmHâ‚‚O. In addition to this, performing alveolar recruitment maneuver at 2 moments: before surgical incision, end of pneumoperitoneum |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Alveolar recruitment maneuver | Procedure | Applying plateau pressure 30cmHâ‚‚O for 30 seconds to achieve alveolar inflation |
|
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pulmonary complication | Performing lung ultrasound to evaluate if pulmonary complication is occurred | Immediately after entering PACU |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Sun Woo Nam, M.D | Contact | +82-31-787-7499 | nsw116@snubh.org |
| Name | Affiliation | Role |
|---|---|---|
| Ah Young Oh, M.D., Ph. D | Seoul National University Bundang Hospital | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Bundang Hospital, department of Anesthesia and pain | Recruiting | Seongnam | Gyenggo-do | 13620 | South Korea |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38722838 | Derived | Bae YK, Nam SW, Oh AY, Kim BY, Koo BW, Han J, Yim S. Effect of the alveolar recruitment maneuver during laparoscopic colorectal surgery on postoperative pulmonary complications: A randomized controlled trial. PLoS One. 2024 May 9;19(5):e0302884. doi: 10.1371/journal.pone.0302884. eCollection 2024. |
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