Mechanical Ventilation During Anesthesia
Conditions
Brief summary
The aim of this study is to evaluate The role of transthoracic lung US as a clinical tool in Comparison to dynamic lung compliance for detection of optimum PEEP for obese patients undergoing laparoscopic gastric sleeve surgery.
Interventions
dynamic lung compliance measurements will be used for detection of the optimum PEEP after alveolar recruitment
lung ultrasound views will be used for detection of the optimum PEEP after alveolar recruitment
Sponsors
Study design
Eligibility
Inclusion criteria
* physical status American Society of Anesthesiologist(ASA) I or II
Exclusion criteria
* Patients refuse ASA physical status more \> II * Patients with pre-existing significant pulmonary disease with abnormalities in spirometry, previous lung surgery, home oxygen therapy and significant cardiac dysfunction. * Patients with pulmonary hypertension.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| detection of the optimum PEEP which is measured in mmHg | intraoperative period | the optimum PEEP will be detected after alveolar recruitment either by dynamic lung compliance or by lung ultarsound views |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| prevention of postoperative pulmonary complications | 1st 24 hour | patients will be monitored for detection of postoperative pulmonary complictaios as atelectasis , pneumothorax , respiratory failure |
Countries
Egypt