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The aim of this study is to evaluate The role of transthoracic lung US as a clinical tool in Comparison to dynamic lung compliance for detection of optimum PEEP for obese patients undergoing laparoscopic gastric sleeve surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| dynamic lung compliance for detection of optimum PEEP | Active Comparator | detection of optimum PEEP by measurement of the dynamic lung compliance (by the ventilator machine) after lung recruitment |
|
| Lung ultrasound for detection of the optimum PEEP | Active Comparator | Lung ultrasound will be used to detect the optimum PEEP after lung recruitment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| anesthesia ventilator machine | Device | dynamic lung compliance measurements will be used for detection of the optimum PEEP after alveolar recruitment |
|
| Measure | Description | Time Frame |
|---|---|---|
| detection of the optimum PEEP which is measured in mmHg | the optimum PEEP will be detected after alveolar recruitment either by dynamic lung compliance or by lung ultarsound views | intraoperative period |
| Measure | Description | Time Frame |
|---|---|---|
| prevention of postoperative pulmonary complications | patients will be monitored for detection of postoperative pulmonary complictaios as atelectasis , pneumothorax , respiratory failure | 1st 24 hour |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams University hospitals | Cairo | Egypt |
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| lung ultrasound | Device | lung ultrasound views will be used for detection of the optimum PEEP after alveolar recruitment |
|