Anesthesia, Atelectasis, Surgery
Conditions
Brief summary
Recruitment maneuver is frequently used in daily anaesthesia routine to prevent athelectasia and ventilation perfusion mismatch. Especially pneumoperitoneum in laparoscopic surgeries affects the functional residual capacity (FRC) negatively. Recently, FRC can be measured at bedside in intensive care units. The lack of studies evaluating FRC measurements peroperatively and how recruitment maneuvers affect it, attract attention.
Detailed description
An ICU-ventilator capable to measure the FRC will be used for the mechanical ventilation in patients undergıoing laparoscopic surgery, where anaesthesia maintenance will be achieved with TIVA. FRC will be measured in different steps of the operation. In the study group, a recruitment manover will be applied to evaluate its effects on FRC.
Interventions
30 cmH2O pressure 15 seconds
Sponsors
Study design
Eligibility
Inclusion criteria
1-18-65 years age 2-no lung disease 3-laparoscopic cholecystectomies surgery
Exclusion criteria
1. \<18 years old 2. \>65 years old 3. denial of patient 4. patients having one of: lung disease, cardiac failure, severe cardiac valvular disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of FRC measurements at beginning and end of anesthesia | within max 5 minutes after the intubation and with max 5 minutes before the extubation | First FRC will be measured after ; the last FRC will be measure bedore the extubation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Positive room air test | in recovery room 30 minutes after operation | in recovery room when patient modified aldrete score ≥ 9 patient SPO2 when breathing in room air If patients' spo2 value ≤ 96%, named as room air test positive |
Countries
Turkey (Türkiye)