Atelectasis, Pulmonary Complications, Ultrasonography
Conditions
Brief summary
This study is a clinical trial and its purpose is to evaluate the effect of low and normal flow anesthesia on atelectasis formation in patients undergoing bariatric surgery by ultrasonography. In this study, lung ultrasounds and respiratory function tests will be performed on volunteers before and after surgery. These procedures are completely painless and safe. No invasive procedure will be performed in the study; the methods used do not pose any additional risk other than existing treatment procedures.
Interventions
In Group D, patients undergoing bariatric surgery will receive low-flow inhalational anesthesia (0.5-1 L/min) with sevoflurane. The aim is to evaluate whether the reduced fresh gas flow rate decreases the incidence of postoperative atelectasis, assessed via pulmonary ultrasonography. In Group N, patients undergoing bariatric surgery will receive standard-flow inhalational anesthesia (2-4 L/min) with sevoflurane. This group serves as the comparator to evaluate the impact of flow rate on postoperative atelectasis incidence.
Sponsors
Istanbul University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DIAGNOSTIC
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Will undergo Sleeve Gastrectomy surgery; * 18-65 years old * ASA III patients.
Exclusion criteria
* Patients who do not give consent * Patients with ASA 4 and above * Those with serious respiratory comorbidities (interstitial lung disease, serious permanent lung diseases) * Uncontrolled Hypertension, Diabetes Mellitus * Under 18 and over 65 years of age * Chronic renal failure, Liver failure * CHF (EF\<30) will not be included in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the atelectasis rate with the Lung Ultrasound score (AUS score). | 8 months |
Outcome results
None listed