Health Condition 1: PCS- Health Condition 2: N938- Other specified abnormal uterine and vaginal bleeding
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients of either sex, aged 18-65 yrs, American Society of Anesthesiologist Physical Status Classification (ASA-PS) I or II posted for elective laparoscopic surgeries in Trendelenburg position with pneumoperitoneum duration of more than one hour will be included in the study.
Exclusion criteria
Exclusion criteria: 1.Pregnancy 2.Raised intracranial pressure 3. Obesity (Body Mass Index (BMI) > 30kgm-2) 4.Patients of chronic pulmonary disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To evaluate & compare the effect of volume & dual controlled ventilation on airway pressures during laparoscopic surgery in Trendelenburg position. Respiratory and ventilatory parameters: Peak inspiratory pressure (PIP), Plateau pressure (Pplat), mean inspiratory pressure (P mean), dynamic compliance (Cdyn), respiratory rate (RR), exhaled tidal volume Vt, end tidal CO2 (ETCO2) and driving pressure (Dp).Timepoint: The different time points are - T1 - 5 minutes after induction of anesthesia in supine position & before initiation of the pneumoperitoneum. T2 - 5 min after pneumoperitoneum while in Trendelenburg position. T3 - 30 min after pneumoperitoneum while in Trendelenburg position. T4 - 60 min after pneumoperitoneum while in Trendelenburg position. | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the effect of volume controlled & dual controlled ventilation on- 1. Lung compliance 2. Oxygenation 3. Hemodynamic parameters Arterial blood gas analysis: arterial partial pressure of oxygen (PaO2), arterial partial pressure of carbon dioxide (PaCO2), pH, & oxygen saturation (SaO2). Oxygenation Index (OI) Hemodynamics: Heart rate (HR), mean arterial pressure (MAP).Timepoint: The different time points are - T1 - 5 minutes after induction of anesthesia in supine position & before initiation of the pneumoperitoneum. T2 - 5 min after pneumoperitoneum while in Trendelenburg position. T3 - 30 min after pneumoperitoneum while in Trendelenburg position. T4 - 60 min after pneumoperitoneum while in Trendelenburg position. | — |
Countries
India
Contacts
ESIC Medical College and Hospital Faridabad