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| Name | Class |
|---|---|
| Ioanna Pikasi | UNKNOWN |
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Patients ASA I-III, undergoing laparoscopic abdominal surgery will be randomly assigned, into one of two groups, namely group C-PEEP , that will be the control group ; and group I-PEEP, where alveolar recruitment maneuvres will take place in order to identify each patient's individualized optimal PEEP. All patients will receive a standardized anesthesia regimen. The lung ultrasound score will be evaluated in all patients in the PACU and then respiratory complications will be recorded on the 24th hour, 48th hour, 7th day and 30the day, postoperatively.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| C-PEEP | Active Comparator | PEEP is standard (5cmH2O) |
|
| I-PEEP | Active Comparator | PEEP is individualized following standard recruitment maneuvres |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Alveolar recruitement | Other | PEEP after alveolar reruitment maneuvres |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Respiratory complications | Postoperative complications (atelectasis, bronchospasm, pneumonia, respiratory failure, ARDS, prolonged mechanical ventilations, reintubation, pleural infusion, COPD exacerbation) | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Pplat | intraoperatively | |
| SpO2 | intraoperatively | |
| PCO2 |
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Inclusion Criteria:
ASA I-III Laparoscopic abdominal surgery
Exclusion Criteria:
Severe kidney dysfunction Severe hepatic dysfunction Severe respiratory disease Severe cardiac disease Severe neuromuscular disease BMI>30 Severe intraoperative hemorrage Severe intraoperative hemodynamic instability
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Asklepieion Hospital of Voula | Athens | Attica | 16673 | Greece |
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| Standard PEEP |
| Other |
PEEP 5 cmH2O |
|
| intraoperatively |
| PaO2/FiO2 | intraoperatively |
| Cdyn | intraoperatively |
| Ppeak | intraoperatively |
| MAP | intraoperatively |
| heart rate | intraoperatively |
| LUS score | Ultrasonographic findigs | Preoperatively and 30 minutes postoperatively |