Robot Assisted Laparoscopic Surgery Robot Assisted Laparoscopic Surgery
Conditions
Interventions
This clinical study assigns patients to two groups based on the method of setting PEEP after the recruitment maneuver (RM). EIT will be applied to both groups.
Intervention Group: DFV guided PEEP Grou
record details.
Maintain PEEP at 5 cmH2O even after pneumoperitoneum ends and the patient is repositioned.
Sponsors
Miyazaki Atsushi
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients meeting all of the following criteria will be eligible for inclusion in this study. 1. Patients scheduled to undergo robot-assisted laparoscopic abdominal surgery (intra-pelvic or lower abdominal surgery) under general anesthesia. 2. Patients aged 18 years or older but under 80 years at the time of informed consent acquisition. 3. Patients with a moderate or higher risk of postoperative pulmonary complications. 4.Patients classified as ASA Physical Status I to III 5. Patients from whom written informed consent has been obtained
Exclusion criteria
Exclusion criteria: Patients meeting any of the following criteria will be excluded. 1. Patients with severe chronic respiratory disease (e.g., severe COPD, receiving home oxygen therapy) 2. Patients with severe obesity (BMI >= 35kg/m2) 3.Pregnant patients 4. Patients with heart failure (NYHA class 3 or higher) or severe arrhythmia 5. Patients with implanted electronic devices such as pacemakers, defibrillators, or neurostimulators 6. Cases where EIT belt application is difficult due to torso deformities 7. Patients with a tracheostomy 8. Cases deemed inappropriate by the principal investigator or sub-investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| P/F ratio prior to extubation (T3) T0: After induction of anesthesia T1: After positioning and initiation of pneumoperitoneum, following recruitment maneuver (RM) PEEP set via DFV, 5 minutes later T2: Immediately before pneumoperitoneum release T3: Prior to extubation | — |
Secondary
| Measure | Time frame |
|---|---|
| Efficacy Evaluation Items T1-T2 P/F ratio The following measurements from T1-T3 Intraoperative respiratory dynamics indicators: Driving Pressure (Plateau Pressure - PEEP), Peak Airway Pressure, Mean Airway Pressure, Lung Compliance Arterial Blood Gas Analysis Values: SaO2, PaO2, PaCO2 Postoperative pulmonary complications (PPC) within 7 days Safety Evaluation Items Incidence rate of device-related adverse events occurring from the day of surgery through the observation period in study subjects who received protocol treatment among all enrolled patients | — |
Contacts
Public ContactAtsushi Miyazaki
Kobe university hospital
Outcome results
None listed