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this study to compare the ventilation in obese patients either using Driving pressure ventilation technique or conventional protective lung strategy all by using Lung ultrasound score
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group D (Driving pressure) | Experimental | Patients will be ventilated with driving pressure-guided ventilation with VT 6-8 ml /kg of predicted body weight, and after recruitment, we will return to the baseline PEEP 5 cmH2O that will be increased by 2 cmH2O until reaching the lowest possible driving pressure for every patient. Each PEEP level will be maintained for ten respiratory cycles and DP will be calculated at the last cycle. |
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| Group L (Lung protective strategy) | Experimental | Patients will be ventilated with protective lung strategy with VT 6-8 ml /kg of predicted body weight, after recruitment we will return to PEEP of 8-10 cm H2O that will be maintained until the end of surgery. |
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| Group P (Physiological PEEP) | Experimental | Patients will be ventilated with VT 6-8 ml /kg of predicted body weight, after recruitment we will return to physiological PEEP of 5 cm H2O that will be maintained until the end of surgery. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| lung ultrasound | Device | The lung ultrasound score between 0 and 3 (0 = normal A lines, 1 = multiple separated B lines, 2 = coalescing B lines or light beam, 3 = consolidation). The aeration score will be built by the sum of the scores of the 12 segments, with a minimum of 0 and a maximum of 36 according to the aeration loss. |
| Measure | Description | Time Frame |
|---|---|---|
| The change in lung ultrasound score | The primary outcome will be the change in Lung Ultra Sound Score between 0 and 3 (0 = normal A lines, 1 = multiple separated B lines, 2 = coalescing B lines or light beam, 3 = consolidation) from the base line. | Periprocedural |
| Measure | Description | Time Frame |
|---|---|---|
| Lung compliance | Lung compliance is a measure of the expansion of the lung. | Periprocedural |
| Hemodynamic parameter as oxygen saturation | Periprocedural |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mahmoud Gamal Arakeeb, Assistant Lecturer | Contact | +201062411170 | Mahmoud.arakeep@med.tanta.edu.eg |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tanta university | Recruiting | Tanta | El Gharbia | 31527 | Egypt |
The data will be available upon a reasonable request from the corresponding author after the end of study for one year.
After the end of study for one year
The data will be available upon a reasonable request from the corresponding author
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| Hemodynamic parameter as Heart rate | Periprocedural |
| Hemodynamic parameter as Mean arterial blood pressure | Periprocedural |
| End-tidal carbon dioxide (ETCO2) | Periprocedural |
| Plateau Pressure (Pplat) | Periprocedural |
| Peak airway pressure (Ppeak) | Periprocedural |
| Incidence of early postoperative pulmonary complications | At the end of the surgery up to 24 hours after surgery |
| Length of post anesthesia care unit "PACU" stay. | At the end of the surgery up to 2 hours after surgery |