Health Condition 1: K35-K38- Diseases of appendix Health Condition 2: K80-K87- Disorders of gallbladder, biliary tract and pancreas Health Condition 3: N80-N98- Noninflammatory disorders of female genital tract
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients undergoing elective laparoscopic surgeries in Trendelenburg position. 2. ASA physical status I & II 3. BMI less than or equal to 30 Kg/m2
Exclusion criteria
Exclusion criteria: 1. Refusal for the study 2. Any contraindication for general anaesthesia 3. Severe obstructive or restrictive pulmonary disease 4. Suspected difficult intubation 5. Presence of any intracranial pathology
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Peak airway pressure (P peak) after initiation of pneumoperitoneum measured at defined intervals.Timepoint: T1- 5 minutes after induction in the supine position and before initiation of the pneumoperitoneum. T2- 10 minutes after creation of pneumoperitoneum and achieving a stable peak pneumoperitoneum level of 12 14 mmHg for 5 minutes. T3- 15 minutes after positioning the patient in Trendelenburg position. T4- 10 minutes after pneumoperitoneum withdrawal, in the supine position. | — |
Secondary
| Measure | Time frame |
|---|---|
| Respiratory mechanics like P mean & dynamic compliance in both the groupsTimepoint: intraoperative;Hemodynamic changes (SBP, DBP, MAP & HR) at defined intervals.Timepoint: intraoperative;Final ventilator settings - Expiratory tidal volume & respiratory rate required to achieve a stable ETCO2 of 35 - 40 mm of Hg.Timepoint: intraoperative;Incidence of sore throat in both groups & it will be assessed by a four-point categorical pain scale.Timepoint: intraoperative;ET tube insertion - number of attempts & success rate of insertion in both the groupsTimepoint: intraoperative;Oropharyngeal leak pressure (OLP)measured by closing the expiratory valve of closed circuit at fixed gas flow & noting the equilibrium airway pressure.Timepoint: intraoperative | — |
Countries
India
Contacts
Ballari medical college and research centre, Ballari