Pulmonary Pathology
Conditions
Brief summary
The primary purpose of the study is to investigate the effect of the 30° reverse trendelenburg position combined with the sunbed position on respiratory parameters in laparoscopic gastrectomies.
Interventions
30° reverse trendelenburg legs together 30° hip flexion (sunbed position)
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who can tolerate general anesthesia and pneumoperitoneum. * Patients who can give informed consent for surgery. * Patients over 18 years of age * patients with body mass index (BMI) \> 30 kg/m2 * Patients with American Society of Anesthesiologists (ASA) physical status I and II
Exclusion criteria
* Patients with serious underlying cardiovascular disease (e.g. congestive heart failure, conduction disorders and ischemic heart disease). * Patients with chronic kidney disease stage 3 or greater (creatinine clearance less than 60 mL/min). * patients with a history of cerebrovascular disease such as intracranial hypertension, cerebral infarction, cerebral hemorrhage, carotid artery stenosis or cerebral ischemia; * Patients with a history of chronic lung diseases such as chronic obstructive pulmonary disease, asthma, pulmonary bullae or respiratory failure; * Patients who have had previous abdominal surgery, including resection of the esophagus, stomach, liver and pancreas. * Surgeries lasting longer than 90 minutes * Patients with ASA class IV * patients with psychiatric disorders * pregnant or breastfeeding patients * patients with a history of seizures
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| inspiratory pressure | 1 month | effect on inspiratory pressure of two different position |
Countries
Turkey (Türkiye)