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This study will be performed in robotic assisted laparoscopic radical prostatectomy patients in Cerrahpasa Medical Faculty Monoblock Operating Room. Since robot-assisted laparoscopic radical prostatectomy is a surgical procedure which requires long-term mechanical ventilation, excessive trendelenburg position (30-45 °) and pneumoperitoneum; these interventions may lead to respiratory complications such as ventilation difficulty and aeration loss in patients. Nowadays, lung ultrasonography has been used in anesthesia practice and intensive care units in order to determine lung aeration loss. In this study, the investigators aimed to compare the possible aeration loss in lung parenchyma during pressure controlled ventilation and volume controlled ventilation which are frequently used in anesthesia practice in patients undergoing robotic radical prostatectomy.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pressure Controlled Ventilation | Active Comparator | Patients undergoing pressure controlled ventilation |
|
| Volume Controlled Ventilation | Active Comparator | Patients undergoing volume controlled ventilation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pressure Controlled Ventilation | Other | Patients will be ventilated with a pressure level which supplies a tidal volume corresponding 8ml/kg, 12 breaths per minute, 1/2 inspiration/expiration ratio and %40 Fraction of Inspired Oxygen . These ventilator settings can be changed in order to adjust end tidal carbon dioxide and oxygen saturation levels. |
| Measure | Description | Time Frame |
|---|---|---|
| The difference between LUS Scores at T5 in patients ventilated with VCV and PCV | Lung Ultrasonography will be applied to patients after surgery in the recovery room at T5. Two different groups' LUS scores will be calculated and compared. | (T5) 60 minutes after patients come to the recovery room. |
| Measure | Description | Time Frame |
|---|---|---|
| The difference between LUS Scores at T2 in patients ventilated with VCV and PCV | Lung Ultrasonography will be applied to patients after intubation. Two different groups' LUS scores will be calculated and compared. | (T2) 5 minutes after intubation |
| The difference between LUS Scores at T3 in patients ventilated with VCV and PCV |
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Inclusion Criteria: 18-75 age
Exclusion Criteria:
Since our study will be performed in patients with prostate cancer, all of our patients will be male.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Hacer Zeynep Turgut, MD | Contact | +905057859922 | drzturgut@gmail.com | |
| Fatis Altintas, MD | Contact | +905337785278 | fatisaltintas@hotmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Fatis Altintas, MD | Istanbul Unıversity-Cerrahpasa, Cerrahpasa Medical Faculty | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Medical Faculty of Cerrahpasa | Recruiting | Istanbul | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D011471 | Prostatic Neoplasms |
| ID | Term |
|---|---|
| D005834 | Genital Neoplasms, Male |
| D014565 | Urogenital Neoplasms |
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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|
| Volume Controlled Ventilation | Other | Patients will be ventilated with a tidal volume which corresponds 8ml/kg, 12 breaths per minute, 1/2 inspirastion/expiration ratio and %40 Fraction of Inspired Oxygen . These ventilator settings can be changed in order to adjust end tidal carbon dioxide and oxygen saturation levels. |
|
Lung Ultrasonography will be applied to patients at Trendelenburg position after the surgical prosedure is finished. Two different groups' LUS scores will be calculated and compared. |
| (T3) 5 minutes after the surgical procedure is finished |
| The difference between LUS Scores at T4 in patients ventilated with VCV and PCV | Lung Ultrasonography will be applied to patients at supin position after the surgical prosedure is finished. Two different groups' LUS scores will be calculated and compared. | (T4) 5 minutes after taking the patient to supin position |
| D005832 |
| Genital Diseases, Male |
| D000091662 | Genital Diseases |
| D000091642 | Urogenital Diseases |
| D011469 | Prostatic Diseases |
| D052801 | Male Urogenital Diseases |