Atelectasis, Atelectases, Postoperative Pulmonary
Conditions
Keywords
postoperative atelectasis, mechanical ventilation, laparoscopic surgery, lung ultrasonography, volume controlled ventilation, pressure controlled
Brief summary
In this study researchers aim to evaluate effect of different ventilation modalities on the developments of atelectasis by using ultrasound.
Detailed description
Patients undergoing laparoscopic surgery will be randomly assigned either volume controlled ventilation group or pressure controlled volume guaranteed ventilation group. All patients will be performed lung ultrasonography pre and postoperatively to evaluate the development of lung atelectasis and effect of different ventilation modalities on the development of atelectasis.
Interventions
after induction for anesthesia patients will be supported by mechanical ventilation on volume controlled ventilation mode
after induction for anesthesia patients will be supported by mechanical ventilation on pressure controlled and volume guaranteed ventilation mode
all patients will be performed lung ultrasonography pre and postoperatively
Sponsors
Study design
Eligibility
Inclusion criteria
* undergoing laparoscopic surgery * ASA Status I-II
Exclusion criteria
* Gastroesophageal reflux * obstructive sleep apnea syndrome * BMI\>30 * severe lung and heart disease * ASA Status III-IV
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effect of different ventilation mods on development of peroperative atelectasis | at minute 5 in postoperative care unit | Patients undergoing laparoscopic surgery will be assigned either volume controlled mode or pressure support volume guaranteed mode. After the operation a researcher will perform lung ultrasonography postoperative at minute 5. Researcher will detect 6 region of each lung totally 12 regions . The researcher will record the modified and original lung ultrasonography scores (LUS Score) of the patients. LUS Score is a scoring system to evaluate atelectasis of lung and scores 1-3 points for each region (Min score 0 max score 36) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Effect of different ventilation mods on development of peroperative atelectasis | at minute 30 in postoperative care unit | Patients undergoing laparoscopic surgery will be assigned either volume controlled mode or pressure support volume guaranteed mode. After the operation a researcher will perform lung ultrasonography in postoperative care unit at minute 30. Researcher will detect 6 region of each lung totally 12 regions . The researcher will record the modified and original lung ultrasonography scores (LUS Score) of the patients. LUS Score is a scoring system to evaluate atelectasis of lung and scores 1-3 points for each region.(Min score 0 max score 36) |
Countries
Turkey (Türkiye)